Solitary rectal ulcer syndrome

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Preparing for your appointment

By Mayo Clinic staff

Start by seeing your family doctor or a general practitioner if you have signs or symptoms that worry you. If your doctor suspects you may have solitary rectal ulcer syndrome, you may be referred to a doctor who specializes in the digestive system (gastroenterologist).

Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, as well as any vitamins or supplements, that you're taking.
  • Take a family member or friend along. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor.

Your time with your doctor is limited, so prepare a list of questions to make the most of your time together. List your questions from most important to least important in case time runs out. For solitary rectal ulcer syndrome, some basic questions to ask your doctor include:

  • What is likely causing my rectal ulcer signs and symptoms?
  • What are other possible causes for my symptoms?
  • What kinds of tests do I need?
  • Is my condition likely temporary or chronic?
  • Do I need treatment?
  • What are my treatment options?
  • I have these other health conditions. How can I best manage them together?
  • Are there any restrictions that I need to follow?
  • Should I see a specialist? What will that cost, and will my insurance cover it?
  • Is there a generic alternative to the medicine you're prescribing me?
  • Are there any brochures or other printed material that I can take with me? What Web sites do you recommend?
  • What will determine whether I should plan for a follow-up visit?

In addition to the questions that you've prepared, don't hesitate to ask questions during your appointment at any time that you don't understand something.

References
  1. Nagar AB, et al. Ulcers of the small and large intestine. In: Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/179165321-7/0/1389/0.html. Accessed Jan. 20, 2010.
  2. Felt-Bersma RJF, et al. Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome and enterocele. Gastroenterology Clinics of North America. 2008;37:645.
  3. Edden Y, et al. Solitary rectal ulcer syndrome and stercoral ulcers. Gastroenterology Clinics of North America. 2009;38:541.
  4. Rao SSC, et al. Pathophysiology and role of biofeedback therapy in solitary rectal ulcer syndrome. American Journal of Gastroenterology. 2006;101:613.
  5. Bharucha AE. Update of tests of colon and rectal structure and function. Journal of Clinical Gastroenterology. 2006;40:96.
  6. High-fiber nutrition therapy. ADA Nutrition Care Manual. http://nutritioncaremanual.org/vault/editor/Docs/High_FiberNutritionTherapy_FINAL.pdf. Accessed Jan. 26, 2010.
  7. Constipation. ADA Nutrition Care Manual. http://nutritioncaremanual.org/topic.cfm?ncm_heading=Nutrition%20Care&ncm_toc_id=145248. Accessed Jan. 26, 2010.
DS00694 March 13, 2010

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