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Colon Cancer Specialist - Dr. Rishi Chadha

Colon cancer is an aggressive disease of the large intestine, which requires early diagnosis to achieve good results. Personalized screening, advanced diagnostics, and innovative treatments are the fields that Dr. Rishi Chadha, a specialist of the GastroDoxs center in Houston, will take patients on in order to make them enjoy better survival and good life.

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Rishi Chadha

About the Expert

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.

What Is Colon Cancer?

Colon cancer is a cancer, which originates in the large intestine (colon). It is caused by an outgrowth of the cells in the inner lead of the colon in a form of tumor. Screening helps to detect the disease at an early stage and this significantly enhances its treatment.

Common Causes and Risk Factors

  • Age over 50
  • A family history of colon cancer or colon polyps
  • Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • A diet high in fat and low in fiber
  • Lack of regular physical activity
  • Obesity
  • Smoking or heavy alcohol use

Signs and Symptoms

  • Changes in bowel habits (diarrhea, constipation, or narrowing of stool)
  • Blood in the stool or very dark, tarry stools
  • Persistent abdominal cramps, bloating, or gas
  • Unexplained fatigue or weakness
  • Unintended weight loss
  • A feeling that the bowel doesn't empty completely

How Dr. Rishi Diagnoses Colon Cancer?

Dr. Rishi uses a step-by-step approach:

Medical History and Exam

He examines your personal and family history of colon cancer or polyps, symptoms, and diet among other risk factors.

Colonoscopy and Biopsy

The whole surface of the colon is examined by the camera, which finds suspicious polyps which are taken out and referred to the pathologist.

Blood Tests

Samples that are measured include carcinoembryonic antigen (CEA) and overall blood counts and organ status.

Imaging Studies

  • CT scan or MRI evaluates the abdomen and pelvis for tumor extent and lymph node involvement.
  • Endoscopic ultrasound can stage rectal cancers by measuring depth of invasion.

Genetic and Molecular Testing (if needed)

Assays on familial diseases (e.g. Lynch syndrome) or molecular markers to individual therapy/screening of family members.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for colon cancer.

Lifestyle and Diet Modifications

  • Increase consumption of fruits, vegetables, and whole grains.
  • Reduce red meat and processed meat.
  • Drink plenty of water.
  • Engage in regular physical activity to maintain good health.
  • Stop smoking cigarettes and consume less alcohol.

Medications

  • Chemotherapy tailored to the specific cancer type.
  • Targeted therapy that attacks cancer cells without harming normal cells.
  • Medications to manage side effects such as nausea or fatigue.

Minimally Invasive and Advanced Surgeries

  • Laparoscopic colectomy to remove a section of the colon.
  • Use of advanced surgical robots for more accurate and quicker procedures.
  • Ablation of the liver or lung to destroy cancer in cases of metastasis.
Rishi Chadha

About the Author

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.

Frequently Asked Questions

How do you know the first symptoms of colon cancer?

Changes in bowel habits, such as diarrhea or constipation, and the presence of blood in the stool are common early warning signs.

What about the treatment of stage 4 colon cancer?

Treatment may include systemic chemotherapy, targeted therapy, immunotherapy, and surgery to remove metastases when possible.

Colon cancer survival rate?

Survival rates vary by stage. Stage I (early detection) has a five-year survival rate of 90% or more, whereas later stages have lower rates. Individual outcomes depend on personal health factors.

What is the frequency of having a colonoscopy?

Screening usually starts at age 45–50 and repeats every 10 years for average-risk individuals. High-risk patients may need more frequent examinations.

Is diet a true prevention of colon cancer?

Yes. A high-fiber diet rich in fruits, vegetables, and whole grains, along with limiting red and processed meats, can help reduce risk.

Do women have different symptoms?

Women may experience bloating, fatigue, or pelvic discomfort and should note any persistent gastrointestinal changes.

Which are the early tests that can be used to identify colon cancer?

The gold standard is colonoscopy. Other effective tests include blood markers such as CEA, CT colonography, and FIT/stool DNA tests for early detection.

Is one recommended to consult a second opinion?

Absolutely. Dr. Chadha encourages collaboration with your care team to validate diagnosis and treatment plans.

What is the average recovery period of minimally invasive surgery?

Most patients resume normal activities within 2–4 weeks after laparoscopic or robotic-assisted colectomy.

When is it recommended to be screened in case of a family history?

Screening should start either 10 years before the age at diagnosis of the youngest affected relative or at age 40, whichever comes first.

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