| The differential diagnosis for this problem includes hemorrhoids, solitary rectal ulcer, diverticular bleeding, angiodysplasia, and proctitis. |
| Abnormal irritability of the bowels is necessarily involved in the inflammatory process known as proctitis and colitis. |
| The proctitis, if neglected, will only be the means of increasing the size, length and number of these channels. |
| Crohn's disease and, more commonly, ulcerative colitis can involve the rectal area, presenting as proctitis or fistulae. |
| Mesalamine suppositories are effective in maintaining remission in patients with proctitis. |
| In severe radiation proctitis, a short course of hydrocortisone foam enemas may be beneficial. |
