Ayurvedic Insights into SRUS: A Holistic Approach to Solitary Rectal Ulcer Syndrome - A Case Report

Solitary Rectal Ulcer Syndrome (SRUS) is a multifaceted rare gastrointestinal disorder characterized by the development of solitary or multiple ulcers in the rectum. This condition often presents with chronic constipation, rectal bleeding, and pain, significantly impacting the quality of life. The pathophysiology of SRUS is intricate, involving interplay between mechanical, inflammatory, and psychological factors. Accurate diagnosis requires a thorough diagnostic process that includes colonoscopy, histopathology, and clinical examination. A multidisciplinary approach is needed to manage SRUS, involving behavioural therapy, medication, and dietary changes. With a focus on its intricate pathophysiology, diagnostic difficulties, and ayurvedic therapeutic options, we hope to present a clear overview of the current knowledge of SRUS in Ayurveda as Abyantara dusta vrana (Internal Ulcers) associated with Parikartika (Fissure in Ano).