Anal and/or oral-anal sexually transmitted infections (STI's) are a common cause of proctitis. Herpes, gonorrhea, chlamydia and syphilis being the most common STI's involved. It can also be caused by bacterial infections, inflammatory bowel diseases like Crohn's and Colitis and radiation therapy (colon, rectal, cervical or prostate). Incidence has also been associated with antibiotic use for unrelated infections.

If due to infection, antibiotics are normally prescribed and can effectively clear up the problem. Interestingly, high dose or long-term antibiotic use is a significant risk factor for the development of proctitis, so use caution and speak openly with your doctor about these concerns. If proctitis is due to an overall inflammatory condition of the gastrointestinal tract, as seen in IBD, treatment can be a little more complicated and may necessitate the use of herbal anti-inflammatories, supplements to repair the mucosal lining and a repopulation of healthy gut flora. Proctitis which results in significant blood loss may require iron supplementation to prevent or treat anemia.

Be cautious with fibre supplementation, if constipation is occurring. Some fibre supplements are bulking and can make bowel movements more painful. Insoluble fibre, like psyllium, tends to be more irritating. If you are taking fibre supplements be sure to increase water intake at the same time. Probiotics and magnesium may also help to prevent constipation.

Food sensitivities and allergies may be exacerbating gut inflammation and great relief may come from restricting certain foods or trying an anti inflammatory diet. A diet high in fruits and vegetables, including dark green leafy veg., as well as tomatoes and berries means a diet high in beneficial antioxidants and fibre. Limiting caffeine, refined sugar and carbohydrates, as well as red meats can also help to aid in digestion, decrease inflammation and promote regularity. Eat lean meats, fish and soy as alternative protein sources. Increase consumption of water and exercise regularly, helping promote healthy detoxification, increasing metabolism and supporting the immune system.

The following list of supplements can be used for preventing and helping Proctitis.  Adult doses are given.  (CLICK SUPPLEMENT NAME FOR PRODUCTS).