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.
SRUS symptoms vary but commonly include:
SRUS develops when the rectal wall is repeatedly stressed. Common triggers include:
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SRUS is not life-threatening, but it can cause significant pain, bleeding, and discomfort. Early diagnosis and treatment reduce the risk of complications and improve quality of life.
No. SRUS does not lead to cancer. However, any rectal bleeding should be evaluated promptly to rule out other causes.
Diagnosis involves a physical exam, endoscopy to visualize ulcers, imaging studies (like defecography or MRI) to assess prolapse, and sometimes a biopsy for confirmation.
With appropriate non-surgical treatment-dietary changes, pelvic floor therapy, topical medications-most patients see improvement within weeks to a few months, though individual healing times vary.
No. The majority of SRUS cases respond well to conservative measures. Surgery is reserved for severe rectal prolapse or cases unresponsive to other treatments.
Key steps include eating a high-fiber diet, drinking plenty of water, avoiding straining during bowel movements, and maintaining regular pelvic floor exercises to promote healthy bowel habits.
SRUS is uncommon in children but can occur, particularly in those with chronic constipation or pelvic floor muscle dysfunction. Pediatric evaluation and tailored care are essential.
Maintain a consistent bowel regimen: a fiber-rich diet, adequate hydration, regular exercise, and pelvic floor retraining. Promptly address any recurrent constipation or prolapse symptoms.
Yes. An SRUS specialist can provide accurate diagnosis, personalized treatment plans, and follow-up care to ensure the best outcomes and prevent recurrence.
Inquire about the underlying cause of your symptoms, recommended non-surgical treatments, indications for surgery, expected recovery times, and strategies for long-term management.