Description

Solitary rectal ulcer syndrome (SRUS) is a rare condition characterized by the presence of a single ulcer or multiple ulcers in the rectal lining Causes of solitary rectal ulcer The exact cause of solitary rectal ulcer syndrome (SRUS) is not fully understood. However, several factors have been identified as potential contributors to the development of this condition. Here are some commonly recognized causes and risk factors associated with solitary rectal ulcer syndrome: 1. Chronic Constipation: Chronic constipation is considered one of the main factors contributing to SRUS. The repeated straining and difficulty passing stools can lead to trauma and damage to the rectal lining, resulting in the formation of ulcers. 2. Rectal Prolapse: Solitary rectal ulcer syndrome has been observed in individuals with rectal prolapse, where the rectal tissue protrudes through the anus. The constant stretching and pressure on the rectal wall can lead to the formation of ulcers. 3. Abnormal Rectal Emptying: Problems with incomplete or impaired rectal emptying can contribute to SRUS. The inability to completely evacuate stool from the rectum can result in prolonged contact between fecal matter and the rectal lining, leading to irritation and ulceration. 4. Trauma or Injury: Previous trauma or injury to the rectal area, such as childbirth or surgical procedures, can increase the risk of developing SRUS. 5. Inflammation and Autoimmune Factors: Inflammatory processes and autoimmune factors have been suggested as potential contributors to SRUS, although the precise mechanisms are not yet fully understood. It's important to note that SRUS is a relatively rare condition, and its exact cause may vary from person to person. Additionally, some cases of SRUS may be idiopathic, meaning the cause is unknown. Proper evaluation and diagnosis by a healthcare professional, such as a gastroenterologist or colorectal surgeon, are necessary to determine the underlying cause and develop an appropriate treatment plan for solitary rectal ulcer syndrome Symptoms of solitary rectal ulcer The symptoms of solitary rectal ulcer syndrome (SRUS) can vary among individuals, and some may experience more severe symptoms than others. Here are some common symptoms associated with SRUS: 1. Rectal Bleeding: The most common symptom of SRUS is rectal bleeding, which may be bright red blood seen on toilet paper or in the stool. The bleeding is usually painless and can range from mild to moderate in severity. 2. Rectal Pain or Discomfort: Some individuals with SRUS may experience rectal pain or discomfort, which can range from mild to severe. The pain may be described as aching or burning and can be present during or after bowel movements. 3. Passage of Mucus: SRUS can cause the passage of mucus from the rectum. The mucus may be clear or bloody and is typically accompanied by other symptoms such as rectal bleeding. 4. Constipation or Altered Bowel Habits: Chronic constipation or changes in bowel habits, such as difficulty passing stools or a feeling of incomplete evacuation, may be present in individuals with SRUS. 5. Sensation of Rectal Fullness or Bulging: Some individuals may have a sensation of rectal fullness or a bulging feeling in the rectum, especially during or after bowel movements. It's important to note that these symptoms can overlap with other conditions, and a proper diagnosis should be made by a healthcare professional, such as a gastroenterologist or colorectal surgeon. If you are experiencing any of these symptoms, it's recommended to seek medical evaluation for an accurate diagnosis and appropriate management. Diagnosis of solitary rectal ulcer The diagnosis of solitary rectal ulcer syndrome (SRUS) typically involves a combination of medical history assessment, physical examination, and diagnostic tests.