Solitary rectal ulcer syndrome
Definition:
Solitary rectal ulcer syndrome is a condition that occurs when a sore (ulcer) develops in the rectum. The rectum is a muscular tube that's connected to the end of your colon. Stool passes through the rectum on its way out of the body.
Solitary rectal ulcer syndrome is a rare and poorly understood disorder that occurs in people with chronic constipation. Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. Despite its name, sometimes more than one rectal ulcer occurs in solitary rectal ulcer syndrome.
Treatments for solitary rectal ulcer syndrome range from changing your diet and fluid intake to surgery.
Symptoms:
Signs and symptoms of solitary rectal ulcer syndrome include:
When to see a doctor
Make an appointment with your doctor if you notice any signs or symptoms that worry you.
Other diseases and conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. At your appointment, your doctor may recommend tests and procedures to rule out other causes of your signs and symptoms.
Causes:
It's not always clear what causes solitary rectal ulcer syndrome. Doctors believe stress or injury to the rectum may cause rectal ulcers to form.
Examples of situations that could injure the rectum include:
Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require treatment.
Behavior therapy to stop straining during bowel movements
Some people strain during bowel movements out of habit. Behavior therapy can help you learn to relax your pelvic muscles during bowel movements. In one technique called biofeedback, a specialist teaches you to control certain involuntary body responses, such as tightening of your anus or pelvic floor muscles during defecation. Biofeedback may make you more aware of your straining and help you to control it.
Medications
Treatments such as topical steroids, sulfasalazine enemas and botulinum toxin (Botox) may help ease your rectal ulcer symptoms. However, these treatments don't work for everyone, and some are still considered experimental.
Surgery
Surgical procedures used to treat rectal ulcer include:
Definition:
Solitary rectal ulcer syndrome is a condition that occurs when a sore (ulcer) develops in the rectum. The rectum is a muscular tube that's connected to the end of your colon. Stool passes through the rectum on its way out of the body.
Solitary rectal ulcer syndrome is a rare and poorly understood disorder that occurs in people with chronic constipation. Solitary rectal ulcer syndrome can cause rectal bleeding and straining during bowel movements. Despite its name, sometimes more than one rectal ulcer occurs in solitary rectal ulcer syndrome.
Treatments for solitary rectal ulcer syndrome range from changing your diet and fluid intake to surgery.
Symptoms:
Signs and symptoms of solitary rectal ulcer syndrome include:
- Constipation
- A feeling of incomplete passing of stool
- Pain or a feeling of fullness in your pelvis
- Passing mucus from your rectum
- Fecal incontinence
- Rectal pain or anal sphincter spasms
- Rectal bleeding
- Straining during bowel movements
When to see a doctor
Make an appointment with your doctor if you notice any signs or symptoms that worry you.
Other diseases and conditions may cause signs and symptoms similar to those of solitary rectal ulcer syndrome. At your appointment, your doctor may recommend tests and procedures to rule out other causes of your signs and symptoms.
Causes:
It's not always clear what causes solitary rectal ulcer syndrome. Doctors believe stress or injury to the rectum may cause rectal ulcers to form.
Examples of situations that could injure the rectum include:
- Attempts to manually remove impacted stool
- Constipation or impacted stool
- Anal intercourse
- Intussusception, which occurs when part of the intestine slides inside another part
- Radiation therapy used to treat cancer in the abdomen or pelvis
- Rectal prolapse, which occurs when the rectum protrudes from the anus
- Straining during bowel movements
- Use of ergotamine suppositories, an anti-migraine treatment
- Uncoordinated tightening of the pelvic floor muscles that slows blood flow to the rectum
Treatment for solitary rectal ulcer syndrome depends on the severity of your condition. People with mild signs and symptoms may find relief through lifestyle changes, while people with more severe signs and symptoms may require treatment.
Behavior therapy to stop straining during bowel movements
Some people strain during bowel movements out of habit. Behavior therapy can help you learn to relax your pelvic muscles during bowel movements. In one technique called biofeedback, a specialist teaches you to control certain involuntary body responses, such as tightening of your anus or pelvic floor muscles during defecation. Biofeedback may make you more aware of your straining and help you to control it.
Medications
Treatments such as topical steroids, sulfasalazine enemas and botulinum toxin (Botox) may help ease your rectal ulcer symptoms. However, these treatments don't work for everyone, and some are still considered experimental.
Surgery
Surgical procedures used to treat rectal ulcer include:
- Rectal prolapse surgery. If you have a rectal prolapse that's causing rectal ulcer, your doctor may recommend a rectopexy procedure. Rectopexy secures the rectum in its anatomically correct position with stitches.
- Surgery to remove the rectum. An operation to remove the rectum may be an option for people with severe rectal ulcer signs and symptoms who haven't been helped by other treatments. The surgeon may connect the colon to an opening in the abdomen for waste to leave the body (colostomy). If you have a colostomy, a pouch or bag is then attached to your abdomen to collect waste.
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