Is Rectal Ulcer Cancer?

Rectal ulcers can be caused by two main types of conditions. One is a neoplastic ulcer, commonly known as rectal cancer. The other is an inflammatory disease, such as inflammatory bowel disease (IBD), including ulcerative colitis and Crohn's disease, which can also lead to ulcers in the rectum. If a rectal ulcer is detected, it is highly recommended to undergo a biopsy during endoscopy for pathological examination. In the case of malignant tumors, cancer cells can be identified under the microscope, and patients should consider prompt treatment through surgery, chemotherapy, or radiation therapy depending on the stage and type of cancer.

Diagnosis and Treatment Options

If no cancer cells are found under the microscope, the ulcer is likely caused by inflammation. Conditions like ulcerative colitis or Crohn's disease can often be managed with medications such as mesalamine. Mesalamine is available in various forms, including suppositories and enemas, and it works effectively to reduce inflammation and promote healing in the rectal area. In addition to anti-inflammatory drugs, doctors may recommend probiotics or herbal remedies to support the healing process and maintain gut health.

Long-Term Management and Follow-Up

Patients diagnosed with rectal ulcers—whether caused by inflammation or cancer—should follow a regular schedule of follow-up exams. This typically includes repeat colonoscopies and biopsies to monitor the healing process and detect any changes early. Consistent medical supervision is crucial for managing symptoms, preventing complications, and ensuring the best possible outcome. Early diagnosis and personalized treatment play a key role in improving the prognosis for individuals with rectal ulcers.