Constipation-related straining may be the cause of the lesion. How would you proceed?
A 27-year-old man presents to the emergency room after experiencing several episodes of hematochezia. He has a history of constipation and occasionally uses a laxative to have a bowel movement. On colonoscopy, he is noted to have internal hemorrhoids and an ulcer along the anterior wall of the rectum.
Which of the following treatment options would you recommend?
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