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Proctitis
inflamasi pada mukosa rectum
Epidemiologi :
Laki-laki > perempuan
>> dewasa
Classification
Onset after radiation
Acute (6 months)
Chronic (2-4 years)
Etiology
side effect of medical treatments (radiation therapy
more than 150 rad or antibiotics)
sexually transmitted diseases (STDs)
Common : gonorrhea, chlamydia
Uncommon : lymphogranuloma venereum, Herpes simplex
virus (HSV) type 1 (10%) type 2 (90%), Clostridium difficile,
papillomavirus
Symptoms
Nausea & vomiting (acute)
Feeling of rectal fullness
Anal and rectal pain
Diarrhea, usually frequent, small amounts
Tenesmus
Pain in the lower left abdomen
Passing mucus through the rectum
Rectal bleeding
Pruritus (infectious)
Diagnosis
Anamnesis
Px. Fisik
Perbesaran KGB inguinal (HSV)
Px. Penunjang
Endoskopi (rectosigmoidosopy/colonoscopy):
Pallor or erythema
Loss of usual vascularity of mucosa
Prominent telangiectasia
Friability
Bleeding
Ulcerations
Edema
Scattered areas of scarring
Vesicles/pustules
Strictures
Tatalaksana
1. Medikamentosa
Sesuai penyebab
Antiinflamasi : steroid enema, sulfasalazine/mesalamine
oral
Antibiotik : Ceftriaxone and doxycycline for gonorrheal
proctitis, Tetracycline or doxycycline for chlamydial
proctitis, Metronidazole (Flagyl) or oral vancomycin for
C difficile proctitis
Antiviral : Acyclovir for herpetic proctitis
2. Non medikamentosa
Sitz bath : bath in which a person sits in water up to the
hips, used to relieve discomfort and pain in the lower
part of the body.
Edukasi
Diet rendah serat
Pengobatan
Complication
Perforation
Abscess
Treatment failure
Fistula formation
Prognosis
Depends on severity
HBV immunodeficiency prolonged & severe
Reference
emedicine.medscape.com
IPDUI
AACC (American Association for Clinical Chemistry)
Gastroenterologi dan Hepatologi Lecture Notes
Buku Ajar Gastroenterologi Interna