Rectal Inflammation or Proctitis

Proctitis (Rectal Inflammation): Diagnostic Tests

Obligatory medical device diagnostics. Proctoscopy (endoscopy of the rectum; examination of the anal canal and lower rectum/foregut). Rectoscopy (rectoscopy) – inflammation and bleeding can be localized and possible ulcers (boils) and erosions can be detected; biopsy (tissue sampling) and/or culturing may be performed. Optional medical device diagnostics – depending on the results of the history, … Proctitis (Rectal Inflammation): Diagnostic Tests

Proctitis (Rectal Inflammation): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate proctitis (rectal inflammation): Main symptoms Anorectal pain (in the left lower abdomen). Dull pain symptomatology Continuous pain that increases before defecation and decreases afterwards Bloody side stool admixtures Watery, partly bloody discharge/mucus Tenesmus (constant painful urge to defecate), even when there is no stool. Pruritus ani (anal itching) … Proctitis (Rectal Inflammation): Symptoms, Complaints, Signs

Proctitis (Rectal Inflammation): Causes

Pathogenesis (development of disease) Pathogenesis depends on the cause of the disease. Proctitis may be secondary, for example, to infectious enteritis (inflammation of the bowel), or it may occur in patients with inflammatory bowel diseases such as ulcerative colitis or Crohn’s disease. In the majority of cases, proctitis results from a sexually transmitted infectious disease … Proctitis (Rectal Inflammation): Causes

Proctitis (Rectal Inflammation): Therapy

Therapy depends on the cause of the disease. General measures To protect against sexually transmitted infectious diseases that can cause proctitis, condoms should be used (“safe sex”). Anal hygiene after going to the toilet in the following steps: Rough cleaning with untreated toilet paper (dyed toilet paper contains dyes that can possibly cause allergy). Careful … Proctitis (Rectal Inflammation): Therapy

Proctitis (Rectal Inflammation): Test and Diagnosis

Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Calprotectin (fecal inflammation parameter; activity parameter; stool sample) – for initial diagnosis and progression of inflammatory bowel disease (IBD), the stool parameter is superior to inflammatory markers in the blood; delineation … Proctitis (Rectal Inflammation): Test and Diagnosis

Proctitis (Rectal Inflammation): Drug Therapy

Therapeutic targets Decrease of inflammation Relief of discomfort Normalization of bowel movements Therapy recommendations Therapy recommendations depend on the cause of the disease. Proctitis due to bacterial infection: antibiotics. Proctitis in the setting of inflammatory bowel disease (IBD)/ulcerative proctitis: anti-inflammatory (anti-inflammatory) bowel therapeutics. Mesalazine suppositories (alternatively, can be used as rectal foam or clysma/enema) or … Proctitis (Rectal Inflammation): Drug Therapy

Proctitis (Rectal Inflammation): Medical History

Medical history (history of illness) is an important component in the diagnosis of proctitis (rectal inflammation). Family history What is the general health of your relatives? Are there any diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Do you suffer from itching … Proctitis (Rectal Inflammation): Medical History

Proctitis (Rectal Inflammation): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Sexually transmitted diseases ( STDs).e., syphilis, gonorrhea, HIV, granuloma inguinale (GI; donovanosis), ulcus molle, genital herpes, lymphogranuloma venereum (LGV; synonyms: Chlamydia trachomatis (serotype L1-L3), non-LGV chlamydial infections, human papillomavirus (HPV). Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Anal fissure – painful tearing of the mucous membrane at the … Proctitis (Rectal Inflammation): Or something else? Differential Diagnosis

Proctitis (Rectal Inflammation): Complications

The following are the most important diseases or complications that can be caused by proctitis (rectal inflammation): Blood, blood-forming organs – Immune system (D50-D90). Anemia (butarmut) – in severe courses. Infectious and parasitic diseases (A00-B99). Condyloma (genital warts) associated with HPV (human papillomavirus) infection. Liver, gallbladder and bile ducts – pancreas (pancreas) (K70-K77; K80-K87). Hemorrhoidal … Proctitis (Rectal Inflammation): Complications

Proctitis (Rectal Inflammation): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Anus (anus) [reddened mucosa? bulge-like appearance of anus?] Palpation of inguinal lymph nodes (palpation of lymph nodes in the … Proctitis (Rectal Inflammation): Examination