Proctitis and Other Rectal Complaints
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Proctitis and proctocolitis are general terms used to describe inflammation of the anus, rectal mucosa, or sigmoid colon, respectively. Its incidence has increased in the last two decades, especially among men who have sex with men. Both are characterized by a variety of clinical manifestations, and the differential diagnosis is broad; however, in adolescents and young adults, the origin of proctitis is most commonly due to sexually transmitted infections. In order to reduce complications and prevent transmission, the medical provider must maintain a high level of suspicion in order to effectively diagnose and treat proctitis. In this chapter we will review the most common presentations and etiologies of proctitis and give an update on diagnostic and treatment modalities.
KeywordsProctitis Proctocolitis Rectal pain Adolescents Sexually transmitted infections
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