Expert Treatment for Solitary Rectal Ulcer Syndrome by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Symptom Review
He discusses your bowel habits, straining patterns, prior surgeries or injuries, and any pelvic discomfort.
Physical Examination
A careful abdominal and digital rectal exam evaluates for tenderness, tone abnormalities, prolapse, or palpable masses.
Colonoscopy with Biopsy
Endoscopic inspection locates one or more ulcers. Tissue samples confirm ulceration and exclude other conditions.
Defecography & Pelvic-Floor Testing
When pelvic dysfunction is suspected, specialized imaging (defecography) or anorectal manometry assesses muscle coordination and rectal emptying.
Frequently Asked Questions
What causes solitary rectal ulcer syndrome?
SRUS is usually caused by chronic straining during bowel movements, ongoing constipation or hard stools, pelvic floor muscle problems, and rectal prolapse. These factors damage the rectal lining and lead to ulcers.
What are the symptoms of solitary rectal ulcer syndrome?
Common signs include blood in the stool or on toilet paper, mucus discharge, a feeling of incomplete evacuation, pain or pressure during bowel movements, and a frequent urge to go even when the rectum is empty.
Can diet changes cure SRUS?
Improving your diet-eating more fiber, drinking plenty of water, and maintaining regular bowel habits-helps many patients heal. However, some people also need medication, biofeedback, or other therapies for full recovery.
Is surgery always needed?
No. Most patients respond well to conservative measures such as diet modification, pelvic floor retraining, and topical treatments. Surgery is reserved for severe or persistent cases that don't improve with less invasive therapies.
How long does treatment take?
Many patients experience relief within 4 to 8 weeks of starting treatment. The exact timeline varies based on ulcer severity, underlying factors, and adherence to lifestyle changes and therapies.
Can SRUS turn into cancer?
No, solitary rectal ulcer syndrome is not cancerous. However, any rectal bleeding should be evaluated by a specialist to rule out other conditions, including malignancies.