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External Hemorrhoids Doctor - Dr. Rishi Chadha

Painful external hemorrhoids? With the more advanced office-based interventions, Dr. Rishi Chadha, in Houston, at GastroDoxs offers all such forms of relief as lifestyle support and topical measures to the more advanced. Learn to treat kindly, effectively, without causing discomfort that can relieve, restore and make a person feel good in a few days.

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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.

What Are External Hemorrhoids?

External hemorrhage veins are the veins that are distended immediately before the skin of the anal aperture. They are painless, or itchy or bloody, and in most cases they take the shape of small lumps in blue or even skin color. Unlike internal hemorrhoids which are found higher up in the rectum, external hemorrhoids are found at the anal margin.

Common Causes and Risk Factors

  • Applying excessive pressure or stress when passing bowel.
  • Delayed constipation or diarrhea.
  • Pregnancy and vaginal birth.
  • Spending a lot of time sitting especially when taking a rest on the toilet.
  • A low-fiber diet
  • Constant inadequate drink consumption or lack of hydration.
  • Family history of hemorrhoids.

Signs and Symptoms

  • Satiety, pressure, or pain during sitting.
  • Fissures Itching, burning, or irritation.
  • Pelvic/peritoneal neonatal lump or peritoneal swelling.
  • Bleeding on or following the bowel movements (bright red).
  • The vaginal discharge of mucus following defecation.

How Dr. Rishi Diagnoses External Hemorrhoids?

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

Medical History

The symptoms, bowel enema, diet, risk factors such as pregnancy, chronic constipation, and family history are studied by him.

Physical Exam

Dr. Rishi undertakes close visual inspection of the anal region in order to determine swelling, lumps, skin tags or thrombosed veins.

Digital Rectal Exam

Light finger play will assist him in examining internal hemorrhoids, heat and eliminating other anorectal illnesses.

Anoscopy (if needed)

To be certain of the exact position and size of hemorrhoids, he will employ a small lighted tube (anoscope) on the anal canal in case he requires further details.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for external hemorrhoids.

1. Lifestyle and Diet Changes

  • Enhance the consumption of fiber: fiber fruits, vegetables and whole grains to soften bowel contents.
  • Ensure you drink enough water at least 8 glasses daily to ensure you are not strained and dehydrated.
  • Vigorous light walking and physical activities help in healthy digestion.
  • Do not sit long and sit; get up and consider the cushioned seat.
  • Respond to the necessity to move as soon as possible to decongest veins.

2. Medications

  • Itch and swelling Non-prescription creams and suppositories to treat itching and swelling.
  • Prescription level ointments to treat localized and more powerful pain.
  • Laxatives to make the bowel movements less tough and straining.

3. Office-Based Procedures

  • Rubber band ligation - this entails the application of a band to block the flow of blood leading to the hemorrhoid being torn off.
  • Infrared coagulation - It entails applying heat to allotrope swollen vein.
  • Sclerotherapy - is a solution that is injected to reduce the size of the hemorrhoid.
  • Hemorrhoidectomy - surgery on large, or chronic, external hemorrhoids.
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

Are informal hemorrhoids self-limiting?

Yes. Majority of them reduce after home care measures like adding fiber in their diet, taking plenty of water and getting ample rest.

Do I need surgery?

Not usually. Most of the cases can be bettered by altering their diet, lifestyle, and in-office procedures.

How can I feel better in 48 hours?

Consume food with a high content of fiber, wrap the ice-packs, and use over the counter creams to swellings and pains within the shortest time.

What is the difference between inner and outer hemorrhoids?

The internal hemorrhoids are located in the rectum and cannot be seen whereas the external hemorrhoids are located under the skin around the anal aperture.

What does external hemorrhoids look like?

These are hard or soft bumps of tissue around the anus majority of which tend to be bluish or reddish in color and in the event of them not being treated, they can get bigger.

Are they dangerous?

Usually not. However, they can even bleed, suffer much or be infected in case they are not treated.

Can I still exercise?

The use of light exercises like walking is encouraged. Until the symptoms are improved, the light loads and straining are to be avoided.

What should I do to prevent future exacerbations?

Consume high fiber, stay hydrated and do not defer bowel movements when influenced by the urge to.

When should I see a doctor?

Book an examination in case of the severe pain or the continued bleeding or the symptoms that take over 2 weeks.

Are the treatments safe?

Yes. Dr. Chadha uses the recent practices that are soft and least invasive and bear minimal chances of complications.

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