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Solitary Rectal Ulcer Syndrome

At GastroDoxs in Cypress, our specialized gastroenterology team offers comprehensive diagnosis and personalized treatment for Solitary Rectal Ulcer Syndrome, ensuring compassionate care and local expertise to help patients restore bowel health and improve quality of life here in your community.

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Bharat Pothuri
Symptoms

What is Solitary Rectal Ulcer Syndrome?

Solitary Rectal Ulcer Syndrome (SRUS) causes one or more small sores in the rectal lining due to excessive pressure or trauma. Despite its name, ulcers may be multiple or even unseen. It's not an infection or cancer but a structural and muscle-related problem often linked to straining or rectal prolapse. Early recognition helps ease discomfort and prevent progression.

Common Symptoms

SRUS symptoms vary but commonly include:

  • Pain or discomfort in the rectum
  • Bleeding during bowel movements
  • Sensation of incomplete evacuation
  • Mucus discharge from the rectum
  • Constipation and excessive straining

Causes

SRUS develops when the rectal wall is repeatedly stressed. Common triggers include:

  • Chronic constipation with straining
  • Weak or uncoordinated pelvic floor muscles
  • Rectal prolapse or internal intussusception
  • Repeated trauma to the rectal lining (e.g., aggressive wiping)
Treatment

Treatment Options for Solitary Rectal Ulcer Syndrome in Cypress

Treatment includes lifestyle changes and medical care:

  • High-fiber diet: Incorporate whole grains, fruits, and vegetables to soften stool and reduce straining.
  • Hydration: Drink plenty of water throughout the day to prevent constipation.
  • Stool softeners: Use over-the-counter agents to make bowel movements easier.
  • Topical medications: Apply sucralfate or steroid enemas to promote ulcer healing.
  • Mild laxatives: Take gentle laxatives as directed to maintain regularity.
  • Pain relief: Use acetaminophen or prescribed analgesics to manage discomfort.
  • Biofeedback therapy: Train pelvic floor muscles to improve coordination and reduce rectal pressure.
  • Colonoscopy & biopsy: Perform these procedures to confirm diagnosis and tailor treatment.
  • Surgery: Consider surgical repair in cases of persistent prolapse or non-healing ulcers.

Book an Appointment Today

Don't let Solitary Rectal Ulcer Syndrome hold you back. At GastroDoxs in Cypress, our expert gastroenterologists provide compassionate, patient-centered care-complete with on-site testing, personalized treatment plans, and ongoing support. Take the first step toward lasting relief and better digestive health by scheduling your appointment now.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How is SRUS diagnosed?

SRUS is typically diagnosed with a colonoscopy and biopsy to examine the rectal lining for ulcers or lesions. Additional imaging or anorectal manometry may be used to assess pelvic floor function and rule out other conditions.

What is the ICD-10 code for SRUS?

The official ICD-10 code for Solitary Rectal Ulcer Syndrome is K62.7.

Can SRUS look like IBS?

Yes. SRUS symptoms-such as pain, mucus discharge, and irregular bowel habits-can overlap with irritable bowel syndrome, making diagnostic testing essential to distinguish between them.

Is SRUS the same as a stercoral ulcer?

No. Stercoral ulcers arise from prolonged pressure by hard stool, whereas SRUS develops from repeated straining, rectal prolapse, or pelvic floor dysfunction.

Is SRUS cancer?

No. SRUS is a benign condition. However, biopsy is important to exclude malignancy and other serious diseases.

How long does healing take?

Many patients experience symptom relief within a few weeks of treatment, but full mucosal healing can take several months, depending on severity and adherence to lifestyle changes.

Is surgery required for SRUS?

Surgery is rarely needed and is reserved for cases with significant rectal prolapse or when conservative treatments and biofeedback fail to improve symptoms.

How can I prevent SRUS from returning?

Prevent recurrence by maintaining a high?fiber diet, staying well hydrated, using stool softeners as needed, avoiding excessive straining, and practicing recommended pelvic floor exercises.

Can children develop SRUS?

While uncommon, SRUS can occur in children-especially those with chronic constipation or pelvic floor coordination problems. Pediatric evaluation and management are tailored to their needs.

Where can I find SRUS care in Cypress?

GastroDoxs in Cypress offers comprehensive SRUS care, including on-site diagnostics, personalized medical and lifestyle treatments, biofeedback therapy, and expert follow-up support.

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