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Proctitis

WHAT YOU SHOULD KNOW

Proctitis (proc-TIE-tus) is swelling in the last part of the bowel--the rectum and the tissues around the anus.

Causes

Proctitis can result from a number of diseases spread by sex, infections from certain kinds of bacteria, and radiation therapy.

Signs/Symptoms

Typical symptoms include rectal pain, a constant urge for a bowel movement, blood or mucous from the rectum, and cramps on the left side of the abdomen.

Care

You may need tests done on your blood and stool, and your doctor may need to examine the anus and rectum through a flexible tube. You also may need to be tested for diseases spread by sex. Treatment will depend on the cause.

WHAT YOU SHOULD DO

  • If you have an infection, your doctor may prescribe an antibiotic medicine to kill the germs. Take it exactly as directed and finish the entire prescription, even if you begin to feel better.
  • You may take medicine for pain and swelling, including oral pain-killers and products applied to the anus.
  • If you have a sexually transmitted infection:
    • Don't have sex, including anal intercourse, until your doctor tells you the infection is cured.
    • Tell your sexual partner that you have this infection so that he or she can be treated.
    • Use a latex condom during sex. This helps protect against catching or spreading proctitis and other infections.
  • Keep the anal area clean and dry. After every bowel movement, clean the area with a moistened tissue, cotton ball, or soft washcloth. Then gently pat the area dry.
  • To help relieve pain, sit in a tub of comfortably hot water for 10 to 15 minutes. Do this several times a day.
  • To prevent constipation, eat a high-fiber diet (vegetables, fruits, whole grains) and drink at least 8 glasses (soda-can sized) of water a day.
  • Avoid foods and beverages that may irritate the rectum. These include beer, tea, coffee (regular and decaffeinated), milk, cola, tomatoes, citrus fruits, nuts, chocolate, and spicy foods.
  • Avoid frequent use of laxatives.

Call Your Doctor If...

  • You start having really bad stomach pain, chills, joint pain, rash, swelling of the testicles, or a high temperature.
  • Your symptoms come back after treatment.

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