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Symptoms can vary greatly.
People may initially have only minor complaints. Risk factors for developing proctitis are related to high-risk sexual behavior. Proctitis is increasingly more common in homosexual men and in people engaging in oral-anal or anal intercourse with many partners. Some people may have minor symptoms such as tenderness in the anal region and mild irritation of the rectum. Others may have more serious complaints such as pus and blood in discharge accompanied by severe cramps and pain during bowel movements.