Doctor insights on:
Medicine For Rectal Ulcer
Breakdown in lining.: A rectal ulcer is a breakdown in the lining of the rectum called the mucosa. The rectum is a muscular tube that passes stool from the colon and out of the anus. Ulceration can cause bleeding, discomfort, straining, and passage of mucus. Solitary rectal ulcer syndrome is a condition that can occur in patients with chronic constipation. ...Read more
A rectal ulcer is when you have a breakdown of the lining of rectum. Though there can be many causes the common ones include rectal prolapse, internal intersusseption, and neoplasm ( benign or malignant). Evaluation with possible biopsy by a colon and rectal surgeon or gastroenterologist is needed. Treatment depends on it's ...Read more
Breakdown of lining: A rectal ulcer is when you have a breakdown of the lining of rectum. Though there can be many causes the common ones include rectal prolapse, internal intersusseption, and neoplasm (benign or malignant). Evaluation with possible biopsy by a colon and rectal surgeon or gastroenterologist is needed. Treatment depends on its cause. Hope this helps. ...Read more
Complicated: Solitary rectal ulcer is in the spectrum of rectal prolapse. Most surgical therapy is first directed at ensuring that any abnormality is not a cancer, especially if associated with a mass. Some have tried topical steroids. At times, surgical resection has been used, when clear prolapse is noted. High recurrence rate. ...Read more
Treatment: For solitary rectal ulcer syndrome depends on severity. Behavior modification, medication, or even surgery may be in the treatment plan. Lifestyle modification can help control the symptoms (water/fiber/exercise). When symptoms are not controllable surgery to remove the rectum would indeed be curative. ...Read more
Rectal ulcer causes: Rectal ulcer can be caused by mechanical trauma, caustic injury, rectal prolapse, "solitary rectal ulcer syndrome", stercoral ulcer (hard stool erodes rectal lining), inflammatory bowel disease, infection... Just to name a few. If your doctor documented a rectal ulcer he can advise you as to its cause, & thus the appropriate fix. Avoid constipation, non-prescribed enemas, cleansers, rectal sex... ...Read more
Treat rectal ulcers: Rectal ulcer can be caused by mechanical trauma, caustic injury, rectal prolapse, "solitary rectal ulcer syndrome", stercoral ulcer (hard stool erodes rectal lining), inflammatory bowel disease, infection... Just to name a few. If your doctor documented a rectal ulcer he can advise you as to its cause, & thus the appropriate fix. Avoid constipation, non-prescribed enemas, cleansers, rectal sex... ...Read more
My colonscopy shows that I have sessile polyp (neck less) in my rectum and rectal ulcer am on pentasa (mesalamine) what to do else?
Suffer from rectal ulcer with sessile polyp, I have continuos bloody mucous bleeding with constipation, am on pentasa (mesalamine) what to do else?
Rectal Ulcer: You are on Mesalamine for uc? Of course, the bleeding and mucus is likely associated with active ulcerative colitis. A large sessile polyp, if it is a true polyp and not an uc pseudo polyp, can secrete mucus itself. It sounds to me that your ulcerative colitis is still not under control. Having said that, the rectal ulcer is likely associated also with your active disease. Get a 2nd opinion. ...Read more
What is the difference between a rectal ulcer and a hemorrhoid? One's a vein right? Where do rectal ulcers lie? Are they the same as stomach ulcers?
Ulcer vs hermorrhoi: Hemorrhoid as you stated is an engorged dilated rectal vein. An ulcer is an erosion/abrasion on any mucosal surface like mouth, esophagus, stomach, intestine and rectum. The concept is the same the location may differ. Rectal ulcers can lie anwhere in the rectum as they can be from infection (herpes) or autoimmune disease ulcerative colitis ...Read more
Colonoscopy/Biopsy report: the lesion (0.5cm) is lymphangioma of the rectum, Solitary rectal ulcer syndrome, and mucosal prolapse syndrome. Is it bad?
No, nothing bad!: It is likely that your rectal mucosal prolapse caused the solitary rectal ulcerr syndrome and needs no treatment unless there is significant bleeding or discomfort which you did not mention having. The incidentially found 5mm lymphangioma is totally benign and should be of no concern. That lesion is exceedingly rare with very few cases reported and never a report of malignancy in them. ...Read more
I am on pentasa (mesalamine) and flagyle for rectal ulcer, is that effective and safe am breast feeding?
Safe/ no problem: Both medications are considered relatively safe during breast feeding. I can't comment about the effectiveness of the treatment, not part of my area. ...Read more
Polyp removed in upper rectum and solitary rectal ulcer sowed in flexible sigmoidoscopy. Still start tip of stool is hard and red blood on stool help!
Start simple, but...: Docusate (per PDR) helps moisten & soften hard, dry stools. It is not a true laxative, but facilitates natural defecation, usually within 12 to 72 hours. This is safe &available for anyone over 2, &an assumes normal GI anatomy without inflammation, stenosis, extrinsic or instrinsic obstruction. Change in bowels is a "red flag", like weight loss or blood in stool, that needs evaluation if persistent ...Read more
I am on pentasa (mesalamine) for rectal ulcer but I am breast feeding my 9 months old baby is that risky?
No: But Pentasa (mesalamine) is not a great treatment for a recital ulcer. Very little of the active Mesalamine found in oral Pentasa (mesalamine) will reach the rectum. It is usually reserved for those with small bowel involved crohn's. For a rectal ulcer, one should consider rectal treatment (enema or suppository) I would question your doctor. ...Read more
Does pentasa (mesalamine) has any side effect during breast feeding cause I have rectal ulcer and breast fed my 7/12 old baby? Is it risky?
Probably safe: While there are no large controlled studies of this medication during bf, the reported side efects are rare or minor. Watery diarrhea has been reported but that overlaps with expected bf stools anyway. See hale t "medications and mothers milk, 15ed, 2012. ...Read more
I have rectal ulcer with rectal prolapse am taking pentasa (mesalamine) for 3 months but my doctor advise me to do pelvic floor exercises why? And how to do it?
Pelvic strengthen : You have rectal prolapse. Your doctor wants you to strengthen your supporting muscles so perhaps your prolapse will not recur. Ask your doctor for help and use your local library for pelvis exercise books. If it recurs you may need surgery. Try amazon books? Hope this helps. ...Read more
Hi I have a rectal prolapse and solitary rectal ulcer in my sigmoid colon. I have ehlers danlos syndrome. I was pooping today and some red tissue looking stuff came out and fell into toilet what is it
Probably a clot: But the only way to tell would be to bring the object in for examination. If another appears you may wish to retrieve it. ...Read more
Depends on cause:
Ulcers can occur at different areas in the gastrointestinal tract.
A stomach ulcer may be due to irritation (most commonly medications such as ibuprofen) or may be due to a bacterium (called h. Pylori). Acid lowering medications such as prilosec, protonix, nexium, prevacid, or Aciphex (rabeprazole) may be helpful to allow the ulcer to heal. If it is due to h. Pylori, a specific antibiotic regimen is used. ...Read more
You didn't list the: Medication. You can either re-ask thing question on this site with appropriate clarification or discuss with your pharmacist. ...Read more
Sure its an ulcer?: "Chronic ulcer" or peptic ulcer disease should be diagnosed & treated by your dr. Pud is often caused by a famous bacteria known as h. Pylori, & this too has to be investigated for. Its diagnosed by a breath, stool, or blood test or by endoscopy, likely a good idea in your case. Eradication of h. Pylori with antibiotics is usually curative. Treatment w/ ppi's or h2 receptor blockers is essential. ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more