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Hemorrhoids

In Houston's humid climate, hemorrhoids can disrupt daily life with pain, itching, and bleeding. Board-certified gastroenterologist Dr. Rishi Chadha at GastroDoxs offers personalized, minimally invasive treatments-from high-fiber diet guidance to advanced procedures-helping you find lasting relief and reclaim comfort quickly.

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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 Hemorrhoids?

Hemorrhoids are swollen veins in or around the anus and lower rectum. They can cause pain, itching, and bleeding. Many people ask, -do hemorrhoids go away?- Small hemorrhoids may improve with home care, but persistent cases often need expert attention.

Common Causes and Risk Factors

  • Straining during bowel movements
  • Chronic constipation or diarrhea
  • Sitting for long hours, especially at work
  • Pregnancy and childbirth
  • A low-fiber diet
  • Dehydration in Houston's warm climate, which can worsen constipation

Signs and Symptoms

  • Bright red blood on toilet paper or in the toilet
  • Swelling or lumps around the anus
  • Itching, burning, or irritation
  • Pain or discomfort when sitting
  • A feeling of fullness or discomfort after a bowel movement

How Dr. Rishi Chadha Diagnoses Hemorrhoids?

Dr. Chadha follows a systematic, in-office evaluation:

Patient History & Physical Exam

He begins by reviewing your symptoms, bowel habits, diet and lifestyle. A careful visual inspection of the anorectal area and a digital rectal exam help identify external hemorrhoids, prolapse and any areas of tenderness.

Anoscopy

Using a small, lubricated anoscope, Dr. Chadha directly visualizes internal hemorrhoids, assesses their size and degree of prolapse, and checks for any other mucosal changes.

Additional Endoscopic Evaluation

For patients with persistent bleeding, anemia or risk factors for other colorectal conditions, he may recommend a flexible sigmoidoscopy or full colonoscopy to rule out polyps, fissures or malignancy.

Personalized Assessment

Combining findings from the exam and scopes, Dr. Chadha grades your hemorrhoids (I-IV) and tailors a treatment plan-from dietary changes to in-office procedures-designed for quick relief and lasting results.

Dr. Rishi Chadha
Treatment

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

1. Lifestyle and Diet Modifications

  • Adopt a high-fiber diet with fruits, vegetables, and whole grains
  • Drink plenty of water-aim for 8 cups daily in Houston's heat
  • Exercise regularly to improve circulation
  • Avoid sitting on the toilet for long periods

2. Medications

  • Over-the-counter creams and suppositories for itching and swelling
  • Stool softeners to ease bowel movements
  • Prescription topical medications when needed

3. Minimally Invasive or Advanced Procedures

  • Rubber band ligation to cut off blood flow to internal hemorrhoids
  • Sclerotherapy (injection) to shrink hemorrhoids
  • Infrared coagulation using heat to seal veins
  • Advanced stapled hemorrhoidopexy for larger prolapsing 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

How do I get rid of hemorrhoids at home?

Eat high-fiber foods, stay hydrated, and use warm sitz baths.

Will my hemorrhoids go away on their own?

Small cases may improve with home care, but long-term relief often needs professional treatment.

Are hemorrhoids dangerous?

They rarely pose a serious health threat but can significantly impact quality of life if left untreated.

Can I exercise with hemorrhoids?

Yes. Low-impact activities like walking and swimming help improve circulation and ease symptoms.

How long does rubber band ligation take?

The procedure usually takes about 10-15 minutes and can be done in the office.

Do hemorrhoids come back after treatment?

Maintaining lifestyle changes and follow-up care reduces the risk of recurrence.

Is there an age group more at risk?

Adults over 50 and pregnant women face a higher risk of developing hemorrhoids.

Can children get hemorrhoids?

It's rare, but chronic constipation or straining can lead to hemorrhoids in children.

How soon will I feel better after treatment?

Most patients notice significant relief within a few days of their procedure.

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