The differential diagnosis for this problem includes hemorrhoids, solitary rectal ulcer, diverticular bleeding, angiodysplasia, and proctitis. |
Mesalamine suppositories are effective in maintaining remission in patients with proctitis. |
Crohn's disease and, more commonly, ulcerative colitis can involve the rectal area, presenting as proctitis or fistulae. |
All cases of proctitis are more or less accompanied by constipation and diarrhea. |
The proctitis, if neglected, will only be the means of increasing the size, length and number of these channels. |
Dr Johan said it was 'very unlikely' the profuse dark blood was caused by radiation proctitis, which the Crown alleges was the correct diagnosis. |