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Causes

By Mayo Clinic staff

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Illustration showing the rectum 
Rectum

Proctitis is inflammation of the lining of the rectum. Several diseases and conditions can cause proctitis.

Examples of causes of proctitis include:

  • Infections. Sexually transmitted diseases (STDs) can irritate the lining of the rectum. STDs that can cause proctitis include gonorrhea, genital herpes and chlamydia. Other infections can cause proctitis, including infections associated with food-borne illness, such as salmonella, shigella and campylobacter.
  • Inflammatory diseases that affect the colon and rectum. Inflammatory bowel diseases, such as ulcerative colitis or Crohn's disease, can cause proctitis.
  • Radiation therapy for cancer. Radiation therapy directed at your rectum or nearby areas can cause irritation of the lining of your rectum. Radiation proctitis can begin during radiation treatment and last for a few months after treatment. Or it can occur months and years after treatment.
References
  1. Proctitis. National Institute for Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/proctitis/index.htm. Accessed Feb. 26, 2010.
  2. Leiper K, et al. Treatment of radiation proctitis. Clinical Oncology. 2007;19:724.
  3. Lee PK, et al. Condyloma and other infections including human immunodeficiency virus. Surgical Clinics of North America. 2010;90:99.
  4. Coates WC. Disorders of the anorectum. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniq=192498651. Accessed Feb. 26, 2010.
  5. Zuckerman KS. Approach to the anemias. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/186591636-6/0/1492/0.html. Accessed March 2, 2010.
  6. Stamm WE, et al. Chlamydia trachomatis (trachoma, perinatal infections, lymphogranuloma venereum and other genital infections). In: Mandell GL, et al. Mandell, Douglas and Bennett's Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa.: Churchill Livingstone; 2010. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..X0001-X--TOP&isbn=978-0-443-06839-3&uniq=192498651. Accessed March 2, 2010.
  7. Stenson WF. Inflammatory bowel disease. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/186591636-6/0/1492/0.html. Accessed March 2, 2010.
  8. Lakatos PL, et al. Ulcerative proctitis: A review of pharmacotherapy and management. Expert Opinion Pharmacotherapy. 2008;9:741.
  9. Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. March 10, 2010.
DS00705 April 3, 2010

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