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.
External hemorrhoids are swollen veins located just under the skin around the anal opening. They can be painful, itchy, or bleed, and often appear as small blue or skin-colored lumps. Unlike internal hemorrhoids, which sit higher up inside the rectum, external hemorrhoids develop at the anal verge.
He reviews your symptoms, bowel habits, diet, and any risk factors such as pregnancy, chronic constipation, or family history.
Dr. Rishi performs a careful visual inspection of the anal area to identify swelling, lumps, skin tags, or thrombosed veins.
A gentle finger exam allows him to assess internal hemorrhoids, check for tenderness, and rule out other anorectal conditions.
If more detail is required, he uses a small, lighted scope (anoscope) to view the anal canal and confirm the exact location and severity of hemorrhoids.
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.
Yes. Many shrink with home care measures like adding fiber to your diet, drinking plenty of water, and getting adequate rest.
Not usually. Most cases improve with dietary changes, lifestyle modifications, and in-office procedures.
Use a high-fiber diet, apply cold packs, and use over-the-counter creams to reduce swelling and discomfort quickly.
Internal hemorrhoids form inside the rectum and are not visible, while external hemorrhoids develop under the skin around the anal opening.
They appear as soft or firm bumps around the anus, often bluish or skin-colored, and may grow larger if untreated.
Usually not. However, they can bleed, cause significant pain, or become infected if left untreated.
Yes'light activities like walking are encouraged. Avoid heavy lifting and straining until symptoms improve.
Maintain a high-fiber diet, stay well-hydrated, and don't delay bowel movements when you feel the urge.
If you experience severe pain, persistent bleeding, or symptoms lasting more than two weeks, schedule an evaluation.
Yes. Dr. Chadha uses the latest gentle, minimally invasive techniques with low risk of complications.
