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Solitary Rectal Ulcer Syndrome Specialist

Treatment of Solitary Rectal Ulcer Syndrome (SRUS) by Dr. Rishi Chadha of GastroDoxs in Houston. Dr. In relief of pain, prevention of bleeding, and regainment of bowel movements, Chadha offers individual diagnosis, nutrition and diet counseling, minimum invasive treatment and complex surgeries.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Solitary Rectal Ulcer Syndrome?

Solitary Rectal Ulcer Syndrome (SRUS): a non-malignant disease that is infrequent and is linked to the formation of ulcers (sores) on the rectum lining. Even though it is a name, a patient may be left with a number of ulcers. SRUS typically results in pain, rectal bleeding and sensation of undone bowel movements. (ICD-10 code: K62.7)

Common Causes and Risk Factors

  • Constipation or difficulty in moving bowls, which is permanent.
  • Internal intussusception (telescoping of rectum) or rectal prolapse.
  • Overuse of enemas or laxatives.
  • Pelvic floor muscle senescence.
  • History of pelvic injury or surgery

Signs and Symptoms

  • The rectal blood is bright red.
  • Always having rectal pain or pressure.
  • Mucus secretion and the bowel movements.
  • Tension, feeling of evacuation.
  • The sensation of relative rectal saturation or prolapse.

How Dr. Rishi Diagnoses Solitary Rectal Ulcer Syndrome?

Dr. Chadha uses a step-by-step approach:

Medical History and Physical Exam

He studies your symptoms- bleeding, pain, mucus discharge, straining and incomplete emptying, bowel history in the past, constipation history, past surgeries, and signs of prolapse.

Endoscopic Evaluation

The colonoscopy or flexible sigmoidoscopy is also performed by him as a direct observation of the rectal lining, as well as the discovery of ulcers, their number, and size, and the removal of other diseases.

Biopsy

The margins of the ulcers are sampled and this is done to exclude cancer and confirm the normal fibromuscular changes of SRUS.

Functional Testing

  • Anorectal Manometry: It measures the sphincter pressures, rectal sensation, and the coordination of the pelvic floor during bowel movement simulation.
  • Defecography: This is a dynamic X-ray study, which identifies emptying of the rectum, internal prolapse and rectocele, and the retrorectal movement during straining.

Advanced Imaging (If Indicated)

In other cases, MMR or endoanal ultrasound will provide a clear image of the muscles of the pelvic floor and the structures supporting the rectum and to identify the minute prolapse or muscle defect.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs for Solitary Rectal Ulcer Syndrome

1. Lifestyle and Diet Changes

  • Eat more of fiber-whole grains, fruits and vegetables.
  • Drink plenty of water daily
  • Do not strain in passing the bowels.
  • Intend to re-train muscles through attempting pelvic floor therapy or biofeedback.

2. Medications

  • Fiber products or stool softeners.
  • Proctective sucalrante and anti-inflammatory gels.
  • Pain drug (safe alternatives need to be used in case of need).

3. Minimally Invasive or Advanced Procedures

  • Small ulcers Treatable through endoscopic therapy.
  • Introduction of botox to loosen the pelvic muscles.
  • Extreme (surgical e.g. rectopexy or ulcer excision).
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is solitary rectal ulcer syndrome?

It is an illness, which results in sores on the rectum hence pain and bleeding.

Can SRUS turn into cancer?

No. SRUS is not a cancer but a biopsy confirms the diagnosis.

When is surgery needed?

Severe cases that fail to respond to therapy or medication are only operated.

What are the lifestyle interventions that play an important role in SRUS?

Eat high fiber, ensure that one stays hydrated, avoid self-straining and try pelvic floor work or biofeedback.

How long is the length of the postoperative period?

Most people are able to resume normal functioning after a span of 2-4 weeks and rehabilitate after 6-8 weeks.

Is there any family history of SRUS?

No strong genetic link. The primary cause of it is mechanical and functional factors in the rectum.

Can kids get SRUS?

Yes, but it's rare. Children need special tests and care.

But whither is it single- when there is more than one ulcer?

This name originated in this way, as the doctors have a hint, that there could be a number of ulcers.

Is biofeedback helpful?

Yes! It helps in retraining of pelvic muscles to avoid straining as well as improve bowel movements.

What is the ICD-10 code for SRUS?

The K62.7 is the medical records and insurance code.

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