Solitary Rectal Ulcer Syndrome

What is solitary rectal ulcer syndrome?

Solitary rectal ulcer syndrome occurs when a single ulcer forms in the rectum resulting in symptoms of blood, mucus, and pain.

What are the symptoms of solitary rectal ulcer syndrome?
1. Constipation
2. Rectal bleeding
3. Rectal pain
4. Straining with bowel movements
5. Pain or fullness in the abdomen or pelvis
6. A feeling of incomplete emptying
7. Mucous in your stools
8. Anal leakage or leaking mucous, and
9. Fecal incontinence

How common is solitary rectal ulcer syndrome?

It is an uncommon condition affecting both men and women. Who is at risk?

Individuals with a longstanding history of constipation and prolonged straining with bowel movements. How is solitary rectal ulcer syndrome diagnosed and treated?

Diagnosis is typically made based on symptoms and findings discovered during anoscopy, flexible sigmoidoscopy and/or colonoscopy.

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Treatment involves avoiding constipation, using stool softeners when appropriate, and increasing dietary fiber to help bulk and soften stools making them easier to pass. For those with significant symptoms, surgery may be required. Topical steroids, sulfasalazine enemas, Botox, and even biofeedback may be used to help ease ulcer symptoms.

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