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.
RECTAL ULCER. It can result from stool pressure (severe chronic constipation : stercoral ulcer, or from some viral diseases sexually transmitted or from malignancy (cancer). Biopsy is imperative in many cases.
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.
Depends. Rectal ulcers have many causes from cancer, inflammatory bowel disease, to "internal prolapse", radiation effects etc, treatment depends on cause, you need to see your doc or a colon and rectal surgeon.
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 it's cause. Hope this helps.
Tissue Breakdown. A ulcer by definition a breakdown in tissue, where the superficial layer is eroded. This can be on the skin, or in the rectum. Sometimes these can be painful or asymptomatic. Many possible causes can give you ulcerations, including infections, malignancy, irritation, trauma, etc. Its always best to seek a professional who has seen may of these conditions to sort out the cause and treatment.
RECTAL ULCER. A biopsy or even excision of the ulcer is necessary. This can be done trans- anally and even using a laser device or argon beam coagulator. Would not " sit on it" potential malignancy. Good bowel habits and stool softeners may help for now.
Sometimes surgery. If conservative treatment doesn't work, many (but not all) patients will benefit from surgery. The problem may recur after surgery. You should obtain a referral to see a proctologist (colo-rectal surgeon) for recommendations. Try to do an internet review of the problem before your consultation in order to obtain better and more clear-cut answers.
Perhaps. There are a number of useful treatments for Solitary Rectal Ulcer Syndrome such as enemas containing steroids or other anti-inflammation medicines. Prevention of constipation is crucial, and sometimes botox is used to relax the anal opening to prevent retaining feces. Unfortunately there is no simple, sure cure because the disease is relatively rare, and the causes are not fully understood.
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.
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...
I had peduculated polyph surgery for solitary rectal ulcer. Now I feel cutted healed area in rectal wall what is that no pain. Nothing?
Leave it alone. This should heal on its own.
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...
My colonscopy shows that I have sessile polyp (neck less) in my rectum and rectal ulcer am on pentasa (mesalamine) what to do else?
Talk to your doctor. If you are on Pentasa (mesalamine) because your doctor thinks you have ulcerative colitis then this is the expected finding. The ulcers leave areas of normal lining that look like ulcers because of the surrounding ulcers. These are called pseudopolyps. Biopsies are often needed to tell for sure. If the ulcers are large and extensive you may need to add another medication.
Aspirin. There are some studies suggesting that low dose Aspirin may prevent polyps. Also if your colonoscopy was at thirty then any siblings and your children will need a colonoscopy at 20.