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Internal Hemorrhoids

Looking for expert relief from internal hemorrhoids in Houston? At GastroDoxs, Dr. Rishi Chadha combines over a decade of GI expertise with advanced, treatments and personalized lifestyle guidance-ensuring comfort, reduced bleeding, and a return to everyday life with minimal downtime.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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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 Internal Hemorrhoids?

Internal hemorrhoids are swollen veins inside your rectum, located above the anal opening. They often don-t cause pain at first but can lead to itching, discomfort, or bright red bleeding during bowel movements. Some mild cases resolve on their own, while others require professional care.

Common Causes and Risk Factors

  • Straining during bowel movements
  • Prolonged sitting (office work or Houston traffic)
  • Low-fiber diet
  • Pregnancy
  • Overweight or obesity
  • Aging (weakened vein walls)
  • Family history of hemorrhoids

Signs and Symptoms

  • Bright red blood on toilet paper or in the toilet bowl
  • Itching or irritation around the anus
  • A sensation of fullness or pressure in the rectal area
  • Discomfort during bowel movements (though often painless)
  • Spotting or a feeling of pressure, especially in women after using the bathroom

How Dr. Rishi Chadha Diagnoses Internal Hemorrhoids

1. Health History & Symptom Review

Dr. Chadha begins by discussing your bowel habits, any bleeding, itching or discomfort, and risk factors such as diet, pregnancy, or family history.

2. Physical Examination

A gentle visual inspection of the anal area and a digital rectal exam help identify swollen internal veins and rule out other conditions.

3. Anoscopy or Flexible Sigmoidoscopy

Using a small, lighted scope, Dr. Chadha directly views the inside of your rectum to confirm the presence and grade of internal hemorrhoids.

4. Insurance Coding

All visits and diagnostic procedures are coded under ICD-10 K64.8 to ensure accurate billing and coverage.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Changes

  • Add more fiber: fruits, vegetables, and whole grains
  • Drink plenty of water
  • Avoid straining-go when you feel the urge
  • Walk or move daily to support digestion
  • Custom plan for your diet and habits, tailored by Dr. Chadha's team

2. Medications

  • Over-the-counter creams or suppositories
  • Prescription creams for more severe cases
  • Guidance on safe and effective use from Dr. Chadha

3. Minimally Invasive Procedures

  • Rubber band ligation - Cuts blood flow so the hemorrhoid shrinks and falls off
  • Infrared coagulation (IRC) - Uses heat to close the veins
  • Hemorrhoidectomy - Surgical removal for large or prolapsed hemorrhoids
  • All procedures are done in-office in Houston, with minimal downtime
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 are the first signs of internal hemorrhoids?

Bright red blood and itching during or after a bowel movement.

Can they go away without treatment?

Mild cases may improve with fiber and fluids. Others need medical care.

What do internal hemorrhoids feel like?

A full or itchy feeling. Usually, there is no pain.

Are they dangerous?

No, but untreated hemorrhoids can lead to discomfort and ongoing bleeding.

What is the ICD-10 code?

K64.8 - Internal hemorrhoids, other specified.

How does rubber band ligation work?

A small band blocks blood flow. The hemorrhoid shrinks and falls off.

Is infrared coagulation painful?

It causes little to no pain. Most people return to normal the same day.

When will I feel better?

Relief often starts within days after treatment.

Do you treat patients from outside Houston?

Yes! We welcome visitors and offer telehealth visits when needed.

What should I bring to my appointment?

List your symptoms, foods you eat, and any creams or pills you-ve tried.

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