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26 سنوات
I'm having green wattery rectal discharge it is not pus i't too liquidy and lime green and im also havin diarrhea and itching what should i do what king of tests i should do
18 أكتوبر 2014

د. Zakia Dimassi طب الأطفال
Proctitis is inflammation of the mucosal (inner) lining of the rectum, the lower segment of the large intestine leading to the anus. The condition may lead to bleeding or mucous discharge from the rectum, among other symptoms, which include:
tenesmus: a frequent urge to pass a bowel movement; it is one of the most common symptoms of proctitis
bloody bowel movements
rectal bleeding
a feeling of rectal fullness
anal or rectal pain
crampy abdominal pain
rectal discharge of mucus or pus
diarrhea or frequent passage of loose or liquid stools

Proctitis can be caused by many factors, some of which are acute, or sudden and short-term, and chronic, or long-lasting, conditions. Among the causes are the following:
-Sexually transmitted infections (STIs): can get transmitted through anal sex. Common STIs that can cause proctitis include gonorrhea, chlamydia, syphilis, and herpes.
-Non-sexually transmitted infections: Salmonella and Shigella are examples of foodborne bacteria that can cause proctitis.
-Anorectal trauma: trauma to the anorectal area—which includes the rectum and anus—from anal sex or the insertion of objects or harmful substances into the rectum, including the chemicals in some enemas, can lead to inflammation of the area.
-Ulcerative colitis and Crohn’s disease: these are the two forms of inflammatory bowel disease (IBD). Ulcerative colitis causes irritation and ulcers, also called sores, in the inner lining of the colon—part of the large intestine—and rectum. Crohn’s disease usually causes irritation in the lower small intestine—also called the ileum—or the colon, but it can affect any part of the GI tract.
Clostridium difficile infection: use of antibiotics may, while destroying infection-causing bacteria, can also kill nonharmful, or commensal, bacteria in the GI tract. The loss of commensal bacteria can then allow other harmful bacteria known as Clostridium difficile to cause an infection in the colon and rectum.

To diagnose proctitis, a complete medical history and a physical exam are necessary to delineate signs and symptoms, and risk factors for any of the above mentioned conditions.
Based on the findings of the physical exam, symptoms, and other medical information, the doctor will decide which lab tests and diagnostic tests are needed. Basic Lab tests may include blood tests such as a complete blood count to evaluate for blood loss or infection, stool tests to isolate and identify bacteria that may cause disease, and an STD screening . Further testing will be decided based upon the results of the initial tests.
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