Solitary rectal ulcer syndrome

eng rectal ulcer
Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum.
The rectum is a muscular tube connected to the end of your colon. Stool passes through the rectum on its way out of the body.
Solitary rectal ulcer syndrome is a rare and poorly understood consition that often occurs in people with chronic constipation. Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. Despite the name, sometimes more than one rectal ulcer occurs in solitary rectal ulcer syndrome.
The doctor will examine you by an instrument called proctoscope if he is suspecting SRUS. He will further advise a test called sigmoidoscopy to take the biopsy from the ulcer. The biopsy report will usually confirm the diagnosis.
Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require medical or surgical treatment.
To relieve constipation, you may be given tips on increasing fiber in your diet.


You may strain during bowel movements out of habit. Behavior therapy can help you learn to relax your pelvic muscles during bowel movements. In one behavioral technique, called biofeedback, a specialist teaches you to control certain involuntary body responses, such as the tightening of your anus or pelvic floor muscles, during defecation. Biofeedback may make you more aware of your straining and help you to control it.


Certain treatments such as topical steroids, sulfasalazine enemas and Botulinum toxin A (Botox) may help ease your rectal ulcer symptoms. However, these treatments don’t work for everyone, and some are still considered experimental.


If you have a rectal prolapse that’s causing symptoms, your doctor may recommend you one of the following procedure.
Rectopexy procedure. Rectopexy secures the rectum in its anatomically correct position.
Surgery to remove the rectum.
An operation to remove the rectum may be an option if you have severe signs and symptoms that haven’t been helped by other treatments. The surgeon may connect the colon to an opening in the abdomen for waste to leave the body (colostomy). If you have a colostomy, a pouch or bag is then attached to your abdomen to collect waste.


Dr. Harsh J Shah

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