Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
An anal fissure is a small tear or crack in the lining of the anus that often causes sharp pain and bleeding during bowel movements. While many fissures heal with simple self-care, persistent or chronic tears may require expert evaluation and treatment.
He discusses your bowel habits, diet, pain onset and intensity, bleeding episodes, and any prior anorectal issues.
With a gentle visual inspection, Dr. Chadha looks for visible tears, skin tags or sentinel piles around the anal verge.
Using a small, lubricated anoscope, he carefully assesses fissure depth, location and any associated inflammation.
In select cases, a gentle finger exam helps evaluate sphincter tone and rule out other causes of pain.
He assigns the appropriate ICD-10 code (K60.x) to ensure accurate medical records and guide your personalized treatment plan.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Most acute fissures heal in 4�6 weeks with self-care and diet changes.
Yes. Eat high-fiber foods, stay hydrated, and avoid straining during bowel movements.
K60.0�K60.3 cover acute and chronic fissures in different locations of the anus.
Used short-term, they ease stool passage. Your doctor will guide you on safe, appropriate duration.
Most patients feel only minor discomfort or a slight pinch during the injection.
If 6�8 weeks of self-care and medications fail to heal the fissure, a minor surgical repair may be recommended.
Warm sitz baths, increased fiber intake, gentle cleaning after bowel movements, and avoiding heavy lifting.
Yes, often from hard stools. Kid-friendly high-fiber diets and sitz baths help promote healing.
Yes. Dr. Chadha schedules follow-ups to monitor your healing and adjust treatment if needed.
With a high-fiber diet, good hydration, and proper hygiene, most patients avoid recurrence.
