The rectum is a muscular tube that’s connected to the end of your colon. It is the part of large intestine that lies between the colon and anus. Stool passes through the rectum on its way out of the body.
Proctitis is the inflammation of the lining of rectum or the rectal mucosa.
Common SYMPTOMS
- Rectal pain with or without bowel movements
- Soreness in the rectal and anal area
- Rectal bleeding
- Anal discharge e.g., mucus or pus
- Continuous feeling of having a bowel movement.
- Tenesmus (ineffectual passing of stools – there is a constant desire to pass stools, but the amount passed is very little.
- Fever and body ache in acute conditions.
- Pain on the left side of the abdomen
- A feeling of fullness in the rectum
- Feeling like you didn’t empty your bowels after a bowel movement
- Involuntary cramping and spasms during bowel movements
- Diarrhea or loose stools
Possible Causes or Risk Factors
- History of IBD’s e.g., inflammatory bowel diseases, Crohn’s disease or ulcerative colitis.
- STI’s – Sexually transmitted infections e.g., gonorrhoea, genital herpes and chlamydia, those who engage in anal intercourse – gonococcal proctitis due to rectal coitus.
- Unsafe sex – if an individual has multiple sex partners, doesn’t use condoms etc.
- Infections associated with foodborne illness, such as salmonella, shigella and campylobacter infections.
- Due to side effects of radiation therapy.
- Certain antibiotics used to treat infections can kill helpful bacteria in the bowels, allowing the harmful Clostridium difficile bacteria to grow in the rectum.
- Some types of colon surgery in which the passage of stool is diverted from the rectum to a surgically created opening (stoma).
- Food protein-induced that usually occur in infants who drink either cow’s milk, soy-based formula, or breast-fed by mothers who eat dairy products.
- Eosinophilic proctitis – when a type of white blood cell (eosinophil) builds up in the lining of the rectum.
- Amoebic dysentery
- Tuberculous proctitis, which is associated with lung tuberculosis
- AIDS
- Primary syphilis
Further complications:
- Chronic inflammation in the rectum can lead to open sores (ulcers) on the inside lining of the rectum.
- Sometimes ulcers extend completely through the intestinal wall, creating a fistula, an abnormal connection that can occur between different parts of intestine and skin, or between your intestine and other organs, such as the bladder and vagina.
- Chronic bleeding from your rectum can cause anemia.
Prevention
- Peritonitis that’s mainly linked with peritoneal dialysis is caused by germs around the catheter.
- Wash your hands before you touch the catheter.
- Scrub under your fingernails and between your fingers.
- Clean the skin around the catheter with an antiseptic every day.
- Store your supplies in a clean place.
- Wear a surgical mask during your dialysis fluid exchanges.
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