Herpes proctitis is accompanied by anal pain and tenderness, discharge, and constipation. Tiny painful blisters or sores may be visible in clusters around the anus. In contrast to other causes of proctitis, people with herpes also may have urinary retention and a weak stream, impotence, and pain in the buttocks and thigh. These warts can extend to affect the lower part of the rectum. People will complain of anal itching, varying degrees of pain, and, with time, bleeding and discharge.
Doctors usually see such trauma in people who introduce any foreign object into their rectum.
Foreign objects include a penis during anal intercourse. On physical examination a doctor may see tiny cracks in the anal or rectal linings. History is extremely important in diagnosing proctitis caused by trauma. In certain instances, the foreign object may still be present in the rectum. People with anorectal trauma also may have an accompanying infection as a result of high-risk sexual behavior.