Solitary Rectal Ulcer Syndrome (SRUS) is the disease that causes an individual to develop one or more small ulcers located on the rectal mucosa due to excessive pressure or trauma. As much as it sounds self explanatory, ulcers are not only multiple, but can be invisible as well. Not a disease or a cancer but a structural and muscle problem, which is mainly related to straining or rectal prolapse. Early diagnosis of the same is helpful in relieving pain and preventing progression.
SRUS symptoms are varied and tend to include:
SRUS is a complication that arises when the stressing of the rectal wall is a regular occurrence. Common triggers include:
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SRUS is not life threatening but they might be accompanied with severe pain, bleeding and discomfort. The possibility of complications is reduced by the early diagnosis and treatment and improves the quality of life.
No. SRUS is not cancer causing. Any blood in the rectum must however be enquired early enough to do away with causes.
Diagnosis A physical examination, endoscopy to visualize the ulcers, an imaging test (defecography or MRI) to identify prolapse, and a biopsy to ascertain is occasionally utilized.
A change of diet, topical medications and proper non-surgical treatment of the pelvic floor yields most patients improved feelings within weeks to a few months although the length of time to heal differs among patients.
No. SRUS is mostly a sensitive cases to conservative treatment. Severe rectal prolapse or cases that do not respond to alternative therapy is an indication of surgery.
High-fiber food, large portions of water, no straining when visiting the washroom, frequent pelvic floor exercises are the significant steps in securing good bowel habits.
SRUS is uncommon in children but can occur particularly in children with chronic constipation or muscle malfunction of the pelvic floor. Physical inspection of children and individual care are required.
Regular bowel management: high fiber diet, adequate hydration, physical activity, and retraining of pelvic floor. Early solution of constipation or prolapse.
Yes. In order to obtain the best outcomes and prevent the repetition, an SRUS expert can offer the appropriate diagnosis, personal care treatments and follow-up.
Enquire on the etiology of symptoms, the non-surgery therapies involved, the need to have surgery, how long was the healing process, and the coping mechanisms.