A secondary bacterial infection may be present. Radiation-induced proctitis Early symptoms include tenesmus and diarrhea that resolve shortly after the treatment period. C-reactive protein is elevated in patients with extensive pancolitis but is always normal in patients with distal disease only. Cultures of rectal swabs will help diagnose gonorrhea or chlamydia. Aim treatment towards providing patient comfort during the examination, after life-threatening conditions have been excluded or controlled.
Treatment depends upon the etiology.
Sitz baths may provide relief. Antibiotics - Empiric antimicrobial therapy must be comprehensive and should cover all likely pathogens in the context of the clinical setting. It inhibits bacterial cell wall synthesis by binding to one or more of the penicillin binding proteins, causing bacterial growth inhibition. Contraindications Documented hypersensitivity Interactions Aminoglycosides increase nephrotoxic potential. Probenecid increases effects by decreasing clearance.