1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Diseases Of Anus And Rectum Doctor - Dr. Rishi Chadha

GastroDoxs is the clinic where one may be treated of anus and rectum diseases in Houston by Dr. Rishi Chadha who is the board certified GI specialist. Hemorrhoids and fissures, fistulas, abscesses: Dr. Chadha provides professional diagnosis, personal treatment, and endoscopy as one of the methods of mitigating the situation.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
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.

Common Causes and Risk Factors

  • Chronic constipation or straining during bowel movements.
  • Frequent diarrhea causing irritation of the anal canal.
  • Inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis.
  • Bacterial, viral, or fungal infections affecting the anal region.
  • Injury or trauma to the anal or rectal area.
  • Sedentary occupations or prolonged sitting, such as driving.
  • Excessive pushing or squatting during bowel movements.
  • Family history of anorectal disorders.

Signs and Symptoms

  • Presence of blood on stool or toilet paper after bowel movements.
  • Pain or discomfort during defecation.
  • Itching, soreness, or irritation around the anus.
  • Swelling, bumps, or lumps near the anal opening (perianal swelling).
  • Discharge of pus or fluid from the rectum.
  • Mucus leakage from the anus.

How Dr. Rishi Diagnoses Diseases Of Anus And Rectum?

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

Medical History and Symptom Review

He is talking about your symptoms, bowel habits, lifestyle changes and medical history.

Physical Examination

External examination and digital rectal examination Dr. Chadha conducts an external light examination and a rectal examination to examine in the event of lumps and tears or swellings.

Proctoscopic Evaluation

He can take a free look at hemorrhoids and fissures or lesions of lower rectum and anal canal using ananoscope or proctoscope.

Endoscopic Procedures

  • Flexible sigmoidoscopy to examine the lower colon and the rectum..
  • Colonoscopy where a complete inspection of the colon will be required in order to eliminate other conditions.

Imaging Studies (if indicated)

  • Endoanal ultrasound to establish fistula tracts and intact sphincter muscles.
  • Complex fistulas or abscesses Preoperative magnetic resonance imaging of the pelvis.

Additional Testing (rare cases)

Laboratory tests or special tests may also be ordered by Dr. Chadha to be eliminated in some patients in order to rule out the occurrence of inflammatory or infectious diseases.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for anus and rectum conditions.

1. Lifestyle and Diet Modifications

  • Increase fiber intake through whole grains, vegetables, and fruits.
  • Drink plenty of water throughout the day.
  • Avoid straining during bowel movements.
  • Use warm sitz baths to relieve discomfort and swelling.
  • Stay active with regular physical exercise.

2. Medications

  • Topical creams or suppositories to reduce pain and inflammation.
  • Pain relievers such as acetaminophen or ibuprofen.
  • Antibiotics to treat any secondary infections.
  • Magnesium hydroxide or stool softeners in light doses to ease constipation.

3. Minimally Invasive or Advanced Procedures

  • Rubber band ligation to cut off blood supply to hemorrhoids and promote healing.
  • Sclerotherapy injections to shrink swollen veins.
  • Laser surgery to reduce bleeding and promote precise healing.
  • Endoscopic resection for small hemorrhoidal growths.
  • Minimally invasive surgery for complex or recurring cases.
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

What is the distinction between fissures and hemorrhoids?

Hemorrhoids are enlarged veins within the anal canal, while fissures are small tears or slits in the lining of the anus.

Do fissures heal on their own?

Yes. With conservative care—such as increasing fiber intake, staying hydrated, and using sitz baths—most anal fissures heal within 4–6 weeks.

Are abscesses painful?

Yes. An anorectal abscess causes significant pain, swelling, redness, and sometimes fever due to infection.

Can I prevent hemorrhoids?

Often, yes. A fiber-rich diet, adequate hydration, regular exercise, and avoiding straining during bowel movements can reduce the risk.

When does a fistula require surgery?

Surgical intervention may be recommended if non-surgical treatments are unsuccessful. Procedures such as seton placement and antibiotics help close the fistula and promote healing.

Do I need a colonoscopy?

Not always. Dr. Rishi Chadha may recommend a colonoscopy if there are additional warning signs such as rectal bleeding or other concerning symptoms.

Does rubber band ligation hurt?

Most patients experience only mild discomfort. The procedure does not require general anesthesia and recovery is typically quick.

Are these treatments covered by insurance?

Yes. Most major insurance plans cover evaluations and related procedures. Our team assists with pre-authorization and benefit verification.

Can fissures occur in children?

Yes. Anal fissures can also develop in children, often due to constipation or passing large, hard stools.

How soon can I return to work?

Most patients can resume light work the next day. Recovery from minor surgeries usually takes 1–2 weeks.

Related Blogs
Abdominal Pain

The Worst Ways to Manage Constipation (and What to Do Instead)

Read More
Abdominal Pain

3 Reasons You May Have Chronic Constipation

Read More
Abdominal Pain

Why You Shouldn't Ignore Constipation

Read More