PROCTITIS IN MEN WHO HAVE SEX WITH MEN

STIs that may cause proctitis in MSM include gonor[1]rhoea, chlamydia, herpes and syphilis. The substrains of Chlamydia trachomatis that cause LGV (L1–3) have been associated with outbreaks of severe proctitis in Northern Europe, including the UK.

SYMPTOMS: -

Symptoms include mucopurulent anal discharge, rectal bleeding, pain and tenesmus.

Examination may show mucopus and erythema with contact bleeding. In addition to the diagnostic tests, a PCR test for HSV and a request for identification of the LGV substrain should be arranged

if chlamydial infection is detected. Treatment is directed at the individual infections (see below).MSM may also present with gastrointestinal symp[1]toms from infection with organisms such as Entamoeba histolytica, Shigella spp. , Campylobacter spp. and Cryptosporidium spp.

HOMEOPATHIC MANAGEMENT:-

The medicines that can be thought of use are:-

• Gambogia
• Natrum sulph
• Allium sativa
• Sulphur.