A common symptom is a continual urge to have a bowel movement—the rectum could feel full or have constipation.

A serious symptom is pus and blood in the discharge, accompanied by cramps and pain during the bowel movement.

If there is severe bleeding, anemia can result, showing symptoms such as pale skin, irritability, weakness, dizziness, brittle nails, and shortness of breath.

[3][4] Shared enema usage has been shown to facilitate the spread of Lymphogranuloma venereum proctitis.

If the physician suspects that the patient has Crohn's disease or ulcerative colitis, colonoscopy or barium enema X-rays are used to examine areas of the intestine.