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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.
Perianal infection with associated proctitis is common in homosexual men.
In severe radiation proctitis , a short course of hydrocortisone foam enemas may be beneficial.
The differential diagnosis for this problem includes hemorrhoids, solitary rectal ulcer, diverticular bleeding, angiodysplasia, and proctitis .
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