Treatment of proctitis depends on the cause of the disease.
- Because the most common cause of proctitis remains sexually transmitted disease, you may be given antibiotics to kill the organism. The presence of one type of infection also suggests the presence of other types of sexually transmitted diseases, so antibiotic treatment may be directed at two or more infectious organisms at the same time. Some of the medications can be given in a single injection.
- You must use safe sex practices, such as condoms, if you engage in high-risk sexual behavior.
- If you have inflammatory disease causing proctitis, such as ulcerative colitis or Crohn's disease, you will require continuing treatment. Treatments include drugs that suppress the immune system, such as steroids. Your doctor may prescribe steroid suppositories to provide relief in the rectum. In addition you may receive treatment for control of symptoms such as diarrhea.
Surgery for Proctitis
If your proctitis stems from a chronic illness, surgery may be required. A gastroenterologist, a specialist who deals with all the organs from the mouth to the anus, should advise you.
Follow-up for Proctitis
Follow-up is an integral part of treating proctitis. You must finish all the antibiotics prescribed to you. You should abstain from any sexual practice that may irritate the disease. Follow up with a visit to your health care provider after one to two weeks to determine whether the inflammation has cleared or if you should continue therapy. At any point, if the symptoms get worse, either contact your doctor or go to the emergency department, depending on the severity of symptoms.
Prevention of Proctitis
Prevention of proctitis begins with addressing the high-risk sexual behaviors that you may engage in. Sexually safe behaviors include using protection such as the condom, knowing your sexual partner and history, and avoiding anal intercourse. You must use safe sex practices, such as condoms, if you engage in high-risk sexual behaviors such as these:
- Having multiple sexual partners (or changing sexual partners)
- A previous history of any sexually transmitted disease
- Having a partner with a past history of any STD
- Having a partner with an unknown sexual history
- Using drugs or alcohol (these may increase the likelihood of unsafe sexual practices)
- Having a partner who is an IV drug user
- Bisexual or homosexual partners
- Anal intercourse (Anal sex with a condom decreases the risk of proctitis by STDs, but you can still get proctitis from anal trauma)
- Having unprotected intercourse (sex without the use of a condom) with an unknown partner