Proctitis – Diagnosis of Proctitis, Treatment of Proctitis


is an inflammation of anus and the inner linings of the rectum. It usually affects only the last 6 inches of the rectum. Proctitis can be short term (acute) or long term (chronic). In this article, we shall discuss how proctitis is diagnosed and treated.

There are many causes of proctitis and it produces a range of symptoms in an individual. As the symptoms that manifest depend on the cause of proctitis, the diagnosis is too based on the suspected cause.

Diagnosis of Proctitis:

Medical History:

The doctor takes a thorough medical history of the patient to know about their sexual practices. He also determines if they have any high-risk sexual behaviors.


This is the most reliable technique for diagnosing proctitis. A long, lighted tube with a camera is passed through the anus to visualize the inner surface of the rectum. The image is projected on a TV screen. The imaging techniques are used to magnify the image and identify the changes in the tissue.


The doctor may recommend for a biopsy (small piece of tissue) of the rectum to test for infection or disease.

Laboratory tests:

Any discharge like blood and pus are taken for laboratory for investigation.

Blood tests:

The doctor may recommend frequent blood tests to see the presence of antibodies. These tests help in differential diagnosis of proctitis and also support the diagnosis.

Treatment of Proctitis:

The underlying cause of proctitis is treated first.

If proctitis is due to sexual transmission, antibiotics are given to kill the organism. Infection is treated first with help of




The patient with high-risk sexual behavior is counseled to have safe sexually practices, such as using condoms, following the treatment.

In case of inflammatory disease causing proctitis, such as Crohn’s disease or ulcerative colitis, the doctor prescribes medications that suppress immune system. He may also give


to provide relief in the rectum. Additional medications are given to control other symptoms such as diarrhea.

Chronic proctitis is treated through


A gastroenterologist can know when exactly the surgery is needed.

You can get more information about the causes and symptoms of proctitis in related articles on this site.


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