1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Solitary Rectal Ulcer Syndrome

Solitary rectal ulcer syndrome (SRUS) causes sores and bleeding in the rectum, often linked to straining, constipation, or pelvic floor dysfunction. At GastroDoxs in Houston, Dr. Bharat Pothuri offers diagnosis and treatments-from lifestyle changes through advanced therapies-to restore bowel health.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Constant straining during bowel movements
  • Ongoing constipation or passing hard stools
  • Pelvic floor muscle dysfunction
  • Rectal prolapse (partial slipping of the rectum)
  • Previous injury or surgery in the rectal area

Signs and Symptoms

  • Bright red blood in the stool or on toilet paper
  • Mucus discharge from the rectum
  • Sensation of incomplete emptying after a bowel movement
  • Pain or pressure during bowel movements
  • Frequent urge to defecate, even when the rectum is empty

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.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for solitary rectal ulcer syndrome.

1. Lifestyle and Diet Modifications

  • Eat more fiber-rich foods like fruits, vegetables, and whole grains
  • Drink 6-8 glasses of water every day
  • Create regular bathroom habits
  • Don't strain or sit too long on the toilet

2. Medications

  • Stool softeners to make bowel movements easier
  • Anti-inflammatory creams or suppositories
  • Gentle laxatives (if needed)
  • Pain relief medications for short-term use

3. Minimally Invasive or Advanced Procedures

  • Biofeedback therapy to train pelvic floor muscles to work better
  • Endoscopic treatment to help ulcers heal
  • Surgery for severe or long-lasting cases (rarely needed)
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

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

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.

Related Blogs
Abdominal Pain

All-Natural Ways to Reduce GERD

Read More
Abdominal Pain

5 Ways (and Reasons) to Eat More Fiber

Read More
Abdominal Pain

When Abdominal Pain Is Cause for Concern

Read More