Proctocolitis: Difference between revisions
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==Overview== | ==Overview== | ||
'''Proctocolitis''' is a general term for [[inflammation]] of the [[rectum]] and [[Colon (anatomy)|colon]]<ref>Online Medical dictionary[http://cancerweb.ncl.ac.uk/cgi-bin/omd?proctocolitis]</ref>. Common causes of proctocolitis include ''[[Chlamydia trachomatis]]'', ''[[Lymphogranuloma Venereum]]'', ''[[Neisseria gonorrhoeae]]'', [[Herpes Simplex Virus|HSV]], and [[Campylobacter]] species. The mainstay of therapy for proctocolitis is [[antimicrobial]] therapy. The preferred regimen is a combination of [[Ceftriaxone]] and [[Doxycycline]]. | '''Proctocolitis''' is a general term for [[inflammation]] of the [[rectum]] and [[Colon (anatomy)|colon]]<ref>Online Medical dictionary[http://cancerweb.ncl.ac.uk/cgi-bin/omd?proctocolitis]</ref>. Common causes of proctocolitis include ''[[Chlamydia trachomatis]]'', ''[[Lymphogranuloma Venereum]]'', ''[[Neisseria gonorrhoeae]]'', [[Herpes Simplex Virus|HSV]], and [[Campylobacter]] species. The mainstay of therapy for proctocolitis is [[antimicrobial]] therapy. The preferred regimen is a combination of [[Ceftriaxone]] and [[Doxycycline]]. | ||
==Historical Perspective== | |||
==Classification== | |||
==Pathophysiology== | |||
==Causes== | ==Causes== | ||
Proctocolitis has many possible causes. Common infectious causes of proctocolitis include [[Chlamydia trachomatis]], LGV (Lymphogranuloma Venereum), [[Neisseria gonorrhoeae]], [[Herpes Simplex Virus|HSV]], and [[Campylobacter]] species. It can also be idiopathic (see [[colitis]]), vascular (as in [[ischemic colitis]]), or autoimmune (as in [[inflammatory bowel disease]]). | Proctocolitis has many possible causes. Common infectious causes of proctocolitis include [[Chlamydia trachomatis]], LGV (Lymphogranuloma Venereum), [[Neisseria gonorrhoeae]], [[Herpes Simplex Virus|HSV]], and [[Campylobacter]] species. It can also be idiopathic (see [[colitis]]), vascular (as in [[ischemic colitis]]), or autoimmune (as in [[inflammatory bowel disease]]). | ||
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==Treatment | ==Differentiating {{PAGENAME}} from Other Diseases== | ||
==Epidemiology and Demographics== | |||
==Risk Factors== | |||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
===Natural History=== | |||
===Complications=== | |||
===Prognosis=== | |||
==Diagnosis== | |||
===Diagnostic Criteria=== | |||
===History and Symptoms=== | |||
===Physical Examination=== | |||
===Laboratory Findings=== | |||
===Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | |||
===Medical Therapy=== | ===Medical Therapy=== | ||
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:: Preferred regimen: [[Ceftriaxone]] 250 mg IM {{and}} [[Doxycycline]] 100 mg PO bid for 7 days | :: Preferred regimen: [[Ceftriaxone]] 250 mg IM {{and}} [[Doxycycline]] 100 mg PO bid for 7 days | ||
To view additional treatment and special considerations for the management of proctitis/proctocolitis, click [[proctitis medical therapy|'''here''']]. | To view additional treatment and special considerations for the management of proctitis/proctocolitis, click [[proctitis medical therapy|'''here''']]. | ||
===Surgery=== | |||
===Prevention=== | |||
==See also== | ==See also== | ||
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==References== | ==References== | ||
{{reflist}} | {{reflist|2}} | ||
{{Digestive system diseases}} | {{Digestive system diseases}} | ||
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[[Category:Gastroenterology]] |
Revision as of 14:28, 9 August 2016
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US National Guidelines Clearinghouse on Proctocolitis NICE Guidance on Proctocolitis
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Definitions |
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Patient resources on Proctocolitis Discussion groups on Proctocolitis Patient Handouts on Proctocolitis Directions to Hospitals Treating Proctocolitis Risk calculators and risk factors for Proctocolitis
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Causes & Risk Factors for Proctocolitis |
Continuing Medical Education (CME) |
International |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor(s)-in-Chief:
Overview
Proctocolitis is a general term for inflammation of the rectum and colon[1]. Common causes of proctocolitis include Chlamydia trachomatis, Lymphogranuloma Venereum, Neisseria gonorrhoeae, HSV, and Campylobacter species. The mainstay of therapy for proctocolitis is antimicrobial therapy. The preferred regimen is a combination of Ceftriaxone and Doxycycline.
Historical Perspective
Classification
Pathophysiology
Causes
Proctocolitis has many possible causes. Common infectious causes of proctocolitis include Chlamydia trachomatis, LGV (Lymphogranuloma Venereum), Neisseria gonorrhoeae, HSV, and Campylobacter species. It can also be idiopathic (see colitis), vascular (as in ischemic colitis), or autoimmune (as in inflammatory bowel disease).
Life Threatening Causes
Common Causes
Causes by Organ System
Cardiovascular | No underlying causes |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Chlorpropamide |
Ear Nose Throat | No underlying causes |
Endocrine | No underlying causes |
Environmental | No underlying causes |
Gastroenterologic | No underlying causes |
Genetic | No underlying causes |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | No underlying causes |
Musculoskeletal/Orthopedic | No underlying causes |
Neurologic | No underlying causes |
Nutritional/Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | No underlying causes |
Ophthalmologic | No underlying causes |
Overdose/Toxicity | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal/Electrolyte | No underlying causes |
Rheumatology/Immunology/Allergy | No underlying causes |
Sexual | No underlying causes |
Trauma | No underlying causes |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |
Causes in Alphabetical Order
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Differentiating Proctocolitis from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Natural History
Complications
Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
- All patients with proctocolitis should be treated.
- Treatment of proctocolitis is similar to that of proctitis.
- Generally, the following regimen is recommended:
- Preferred regimen: Ceftriaxone 250 mg IM AND Doxycycline 100 mg PO bid for 7 days
To view additional treatment and special considerations for the management of proctitis/proctocolitis, click here.