gastrointestinal disorders
Proctitis
Treatment of Proctitis
Various treatments depending on cause Infective proctitiscan be treated with antibiotics. Patients who engage in anal-receptive intercourse who have nonspecific proctitis may be treated empirically withceftriaxone250 mg IM once, plusdoxycycline100 mg orally 2 times a day for 7 days. Antibiotic-associated proctitis due toC. difficileis treated withvancomycin125 mg orally 4 times a day orfidaxomicin200 mg orally 2 times a day for 10 days. retention enemas (2 g in 20 mL water 2 times a day) may also be effective. Patients unresponsive to these forms of therapy may benefit from topical application of formalin, or from Recompression Therapy . Endoscopic therapies may be used. Argon plasma coagulation seems effective in reducing symptoms at least in the short term (≤ 6 weeks). Other methods of coagulation include lasers, electrocoagulation, and heater probes. (See also the American Society of Colon and Rectal Surgeons'2018 clinical practice guidelinesfor the treatment of chronic radiation proctitis.) 