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Solitary Rectal Ulcer Syndrome

The practice in our Jersey Village, GastroDoxs, focuses on diagnosis and treatment of Solitary Rectal Ulcer Syndrome, advanced care in the endoscope and the establishment and development of personalized treatment programs, community based support of chronic rectal bleeding, rectal pain and the long-term digestive health of the local population.

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Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Solitary Rectal Ulcer Syndrome?

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.

Common Symptoms

SRUS symptoms are varied and tend to include:

  • During the rectum, itch or soreness
  • Due to bowel movements, bleeding is experienced
  • Perception of poor evacuation
  • Secretion of mucus via the rectum
  • Estranging and unnecessary overstraining

Causes

SRUS is a complication that arises when the stressing of the rectal wall is a regular occurrence. Common triggers include:

  • Constricted chronic constipation
  • Poor or absence of co-ordination of the pelvic floor muscles
  • Internal intussusception or rectal prolapse
  • Repeated injuries in the rectal lining (e.g. wiping violently)
Treatment

Treatment Options for Solitary Rectal Ulcer Syndrome in Jersey Village

Therapy non-surgical and in case of necessity, surgical:

  • Eating habits changes: Eat a lot of fiber (fruits, vegetables, whole grains) and water to bulk up stools and reduce the effort needed to defecate
  • Pelvic floor therapy: Biofeedback, muscle-retraining to improve the coordination and reduce the pressure to the rectal wall
  • Topical agents: rectal cream or rectal enema of anti-inflammatories, or sulcalfate to heal ulcerated tissue
  • Laxatives/stool softeners: Softeners to ensure the bowel movements are normal, painless and not over straining
  • Behavior change: One should not sit on the toilet, change his/her position, or void more than once a day when using the toilet (Grayson, 2006)
  • Surgical: reserved only to case of severe or prolapse related cases; may include rectopexy or local excision in case of failure of conservative treatments

Book an Appointment Today

Don’t get hooked on Solitary Rectal Ulcer Syndrome. Personal care, good communication and a special patient treatment plan are also services that our team of experts at GastroDoxs in Jersey village will offer to ensure you can do so in the shortest time possible. Make a reservation: we are prepared to discuss with you either by telephone or via the Internet and make you begin to clean up your digestive system.

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 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.

Can SRUS turn into cancer?

No. SRUS is not cancer causing. Any blood in the rectum must however be enquired early enough to do away with causes.

How is SRUS diagnosed?

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.

How long does it take to heal?

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.

Is surgery always needed?

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.

What lifestyle changes help?

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.

Can children get SRUS?

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.

But what shall I do to avoid its recurrence?

Regular bowel management: high fiber diet, adequate hydration, physical activity, and retraining of pelvic floor. Early solution of constipation or prolapse.

Do I need to see a specialist?

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.

What should I ask my doctor?

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.

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