Rectal Ulcer – Symptoms and Causes
Overview
Solitary rectal ulcer syndrome is a rare condition where one or more ulcers form in the rectum. This disorder typically affects people who struggle with chronic constipation. Despite its name, patients may develop multiple ulcers rather than just one.
The rectum is the final section of the digestive tract that holds stool before it leaves the body. When someone has this syndrome, they might experience symptoms like rectal bleeding and straining during bowel movements.
Most cases can be managed with simple lifestyle changes. Increasing fluid intake and modifying diet often helps reduce symptoms.
For those with more severe cases that don’t respond to conservative treatment, surgical intervention might be necessary. Doctors typically recommend trying non-surgical approaches first before considering more invasive options.
Signs and Symptoms
People with solitary rectal ulcer syndrome may experience several symptoms:
- Constipation
- Rectal bleeding
- Straining during bowel movements
- Pelvic pain or fullness
- Feeling that stool passage is incomplete
- Mucus discharge from the rectum
- Fecal incontinence
- Rectal pain
Some individuals with this condition may have no symptoms at all.
When to See a Doctor
If you notice any worrying signs or symptoms, it’s important to schedule an appointment with your doctor. Many other conditions can cause similar symptoms to solitary rectal ulcer syndrome.
During your visit, your doctor may suggest several tests and procedures. These help identify the cause of your symptoms or rule out other possible conditions. Early medical attention can lead to better treatment outcomes.
What Causes It
When the Rectum Comes Out
Rectal prolapse happens when the rectum stretches and sticks out through the anus. This condition often occurs from straining during bowel movements. When the rectum protrudes, it can cause tissue damage and lead to ulcers.
The exposed rectal tissue becomes irritated and may bleed. People with rectal prolapse might feel like something is bulging from their anus, especially after using the bathroom.
When the Intestine Slides Into Itself
Intussusception occurs when one part of the intestine slides into another section, like a telescope folding in. This rare condition can block blood flow to the affected area and damage tissue. It may cause severe pain, nausea, and bloody stool.
Unlike rectal prolapse, which is visible from outside, intussusception happens inside the body. It often requires medical imaging to diagnose.
Other possible causes of rectal ulcers include:
- Hard, stuck stool that’s difficult to pass
- Pushing too hard during bowel movements
- Poor coordination of pelvic floor muscles
- Trying to remove stuck stool by hand
- Chronic constipation
