Rectal ulcers are managed by meticulous toilet hygiene, warm sitz baths after each bowel movement, and use of an occlusive ointment or dressing applied to the ulcerated area to promote epithelialization. Stool softeners are necessary to prevent further discomfort. Parents are advised to record bowel movement because the child may voluntarily avoid defecation to prevent discomfort. Rectal thermometers and suppositories are contraindicated because insertion may further traumatize the area.