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.
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.