Those having a severe case may have discharge containing blood and pus, severe rectal pain, and diarrhea. Some people may have rectal strictures, a narrowing of the rectal passageway. Thus they may complain of constipation, straining, and thin stools. 2 virus usually causes proctitis, but type 1 also can trigger the disease. As with the other causes, people may show no symptoms.
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.