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. The rectum is in close proximity to these organs and is susceptible to damage from the radiation. Radiation-induced injury to the rectum can appear in 2 ways. People may complain of diarrhea and tenesmus, a painful spasm of the urogenital diaphragm coupled with an urgent desire to urinate or defecate.