What Treatment for Rectal Ulcer in a Young Man?

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?