Our Companies. The Main Street America Group was established in 1923 with the founding of National Grange Mutual Insurance Company (NGM), which was created to provide affordable insurance coverage to Grange Fraternity members in New Hampshire.
Autoimmune progesterone dermatitis is a rare disease caused by an autoimmune response to endogenous progesterone in women during their reproductive years [1]. Skin lesions typically occur due to increases in progesterone during the luteal phase of the menstrual cycle [2].
Proctitis Symptoms. The most common symptom of proctitis is called tenesmus. Tenesmus is a frequent urge to have a bowel movement. Inflammation and irritation of the rectum and rectal lining create tenesmus. Other symptoms of proctitis include: 1  pain in the rectum, anus, and abdominal region.2  bleeding from the rectum.enesmus is a frequent urge to have a bowel movement. Inflammation and irritation of the rectum and rectal lining create tenesmus. Other symptoms of proctitis include: 1  pain in the rectum, anus, and abdominal region. 2  bleeding from the rectum.