Expert Treatment for Diseases of Anus And Rectum by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms, bowel habits, diet, and any prior anorectal issues. A gentle external inspection and digital rectal exam help identify lumps, fissures, or areas of tenderness.
Anoscopic and Endoscopic Evaluation
- Anoscopy provides a direct view of internal hemorrhoids, fissures, and mucosal abnormalities.
- Flexible sigmoidoscopy (or colonoscopy if indicated) examines the lower colon and rectum to rule out deeper pathology.
Imaging Studies
- Endoanal ultrasound detects abscesses, fistulas, and sphincter defects.
- Pelvic MRI offers detailed mapping for complex fistulas or rectal prolapse assessment.
Laboratory and Additional Testing
When infection or inflammatory bowel disease is suspected, stool studies and selected blood tests are ordered. In rare cases, fistulography or anorectal manometry may be used to guide treatment.
Frequently Asked Questions
What are the most common anorectal conditions?
Hemorrhoids, fissures, fistulas, and abscesses are the most common anorectal conditions.
Can diet help with symptoms?
Yes. A high-fiber diet and adequate water intake can make bowel movements easier and reduce straining.
Is rectal bleeding serious?
Not always, but any bleeding should be evaluated by a doctor to rule out more serious issues.
How long does recovery take?
Recovery varies by treatment and condition, but most patients feel relief within a few days to a week.
Is treatment covered by insurance?
Most insurance plans cover visits, diagnostic tests, and procedures. Our team can verify your benefits.
Are these conditions painful?
Some are mild, while others-like abscesses-can cause significant pain and discomfort.
When should I see a specialist?
If symptoms persist longer than two weeks or bleeding is heavy, you should schedule an appointment with a specialist.