- Gastrointestinal discomfort
- occur with unusual frequency in homosexual patients (not gays only)
- includes abdominal pain, cramps, bloating, flatulence, nausea, vomiting, or diarrhoea
- caused by enteric bacteria, viruses, fungi, zooparasites, or trauma.
The clinical diagnoses in decreasing order of frequency :
- condyloma acuminata : a contagious projecting warty growth on the external genitals or at the anus
- hemorrhoids : a varicose condition of the external hemorrhoidal veins causing painful swellings at the anus
- nonspecific proctitis : inflammation of the mucous membrane of the rectum
- anal fistula (an abnormal passage from one epithelial surface to another epithelial surface)
- perirectal abscess
- anal fissure
- amebiasis : infection with the protozoon Entamoeba histolytica.
- benign polyps (any mass of tissue that bulges or projects outward or upward from the normal surface level)
- viral hepatitis
- gonorrhea : a contagious catarrhal inflammation of the genital mucous membrane, transmitted chiefly by coitus and due to Neisseria gonorrhoeae
- syphilis
- anorectal trauma and foreign bodies
- shigellosis : Bacillary dysentery (a disease marked by frequent watery stools, often with blood and mucus, and characterized clinically by pain, tenesmus, fever, and dehydration.) caused by bacteria of the genus Shigella
- rectal ulcers
- lymphogranuloma venereum : a venereal (relating to or resulting from sexual intercourse) infection usually caused by Chlamydia trachomati
*since not only gays get this syndrome, some are against this term
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