Proctitis that isn't treated or that doesn't respond to treatment may lead to complications, including:
June 12, 2012
- Anemia. Chronic bleeding from your rectum caused by proctitis can cause anemia. With anemia, you don't have enough red blood cells to carry adequate oxygen to your tissues. Anemia causes you to feel tired, and you may also experience dizziness, shortness of breath, headache, pale skin and irritability.
- Ulcers. Chronic inflammation in the rectum can lead to open sores (ulcers) on the inside lining of the rectum.
- Fistulas. Sometimes ulcers extend completely through the intestinal wall, creating a fistula, an abnormal connection that can occur between different parts of your intestine, between your intestine and skin, or between your intestine and other organs, such as the bladder and vagina. For women, a recto-vaginal fistula can connect the rectum to the vagina, causing bowel contents to drain from the vagina.
- Cancer. Damage to cells from radiation can increase the risk of occurrence of other cancers in the rectal area.
- Proctitis. National Institute for Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/proctitis/index.htm. Accessed May 1, 2012.
- Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed May 1, 2012.
- Hoentjen F, et al. Infectious proctitis: When to suspect it is not inflammatory bowel disease. Digestive Diseases and Sciences. 2012; 57:269.
- Nostrant TT, et al. Clinical features, diagnosis, and treatment of radiation proctitis. http://www.uptodate.com/home/index. Accessed May 1, 2012.
- Burger D, et al. Conventional medical management of inflammatory bowel disease. Gastroenterology. 2011;140:1827.
- Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed May 1, 2012.
- Picco MF (expert opinion). Mayo Clinic, Jacksonville, Fla. May 9, 2012.
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