Whether or not the organisms that cause proctocolitis, proctitis, and enteritis are acquired sexually, the symptoms are usually those of a gastrointestinal illness. How much time elapses between initial infection and the appearance of symptoms depends on which infection is present. Although abdominal pain and rectal discharge are common, the specific symptoms depend on which area of the gastrointestinal tract is involved.
The symptoms of proctitis include pain in the anal area, a mucous discharge from the anal area, constipation, and feeling an urgent need to have a bowel movement without being able to do so, despite straining. Blood may be noticed in the stool or when wiping after a bowel movement. If the proctitis is caused by herpes or syphilis, then lesions may be present. Infections such as chlamydia and gonorrhea usually produce far fewer symptoms in men when they are present in the rectum than when they are present in the urethra.
The symptoms of proctocolitis are generally the same as for proctitis, with the addition of diarrhea and abdominal pain. Less often, proctitis and proctocolitis are symptom free.
The symptoms of enteritis include diarrhea and cramping or pain in the abdominal area, often in the lower left abdomen. Nausea and bloating often accompany these symptoms. The diarrhea may be bloody, depending on which organism has caused the infection, and there may also be a mucous rectal discharge. Other possible symptoms include fever, chills, and malaise (a generalized sense of not feeling well). Significant weight loss can result if food is not absorbed well because of inflammation in the bowel.
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