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Solitary Rectal Ulcer Syndrome

At GastroDoxs in Jersey Village, our team specializes in diagnosing and treating Solitary Rectal Ulcer Syndrome, utilizing advanced endoscopic techniques, personalized care plans, and community-focused support to relieve chronic rectal bleeding, discomfort, and promote long-term digestive health for local patients.

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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 Jersey Village

Treatment includes non-surgical care and, when necessary, surgical intervention:

  • Diet changes: Increase fiber intake (fruits, vegetables, whole grains) and fluids to soften stools and reduce straining.
  • Pelvic floor therapy: Biofeedback and muscle-retraining exercises to improve coordination and relieve pressure on the rectal wall.
  • Topical medications: Rectal creams or enemas with anti-inflammatories or sucralfate to promote healing of ulcerated tissue.
  • Laxatives or stool softeners: Gentle agents to ensure regular, painless bowel movements without excessive straining.
  • Behavioral modifications: Proper toilet posture, timed voiding, and avoidance of prolonged sitting or straining during bowel movements.
  • Surgical options: Reserved for severe or prolapse-related cases; may include rectopexy or local excision if conservative measures fail.

Book an Appointment Today

Don't let Solitary Rectal Ulcer Syndrome hold you back. At GastroDoxs in Jersey Village, our expert team offers patient-centered care, clear communication, and personalized treatment plans to help you find relief quickly. Schedule your consultation now call us or book online and take the first step toward lasting digestive health.

1k

Patients Treated

We've successfully treated more than 1K 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

Is SRUS dangerous?

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.

Can SRUS turn into cancer?

No. SRUS does not lead to cancer. However, any rectal bleeding should be evaluated promptly to rule out other causes.

How is SRUS diagnosed?

Diagnosis involves a physical exam, endoscopy to visualize ulcers, imaging studies (like defecography or MRI) to assess prolapse, and sometimes a biopsy for confirmation.

How long does it take to heal?

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.

Is surgery always needed?

No. The majority of SRUS cases respond well to conservative measures. Surgery is reserved for severe rectal prolapse or cases unresponsive to other treatments.

What lifestyle changes help?

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.

Can children get SRUS?

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.

How do I stop it from coming back?

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.

Do I need to see a specialist?

Yes. An SRUS specialist can provide accurate diagnosis, personalized treatment plans, and follow-up care to ensure the best outcomes and prevent recurrence.

What should I ask my doctor?

Inquire about the underlying cause of your symptoms, recommended non-surgical treatments, indications for surgery, expected recovery times, and strategies for long-term management.

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