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Rectal Cancer

Understanding rectal cancer is crucial for timely detection and treatment. At GastroDoxs in Houston, Dr. Rishi Chadha combines advanced diagnostic tools with compassionate care to personalize treatment plans, improve outcomes, and support patients through stage of their rectal cancer journey.

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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 Rectal Cancer?

Rectal cancer is a tumor that starts in the rectum-the last 6 inches of your large intestine. It can change how you use the bathroom, cause bleeding, and lead to pain or discomfort. Finding it early makes treatment more effective at any stage.

Common Causes and Risk Factors

  • Age over 50
  • Family history of colon or rectal cancer
  • High intake of red or processed meats
  • Smoking or excessive alcohol use
  • Inflammatory bowel disease (Crohn's or ulcerative colitis)

Signs and Symptoms

  • Blood in your stool or on toilet paper
  • Constipation or diarrhea that lasts
  • Pencil-thin stools
  • Abdominal cramps or belly pain
  • Unexplained weight loss or fatigue

How Dr. Rishi Chadha Diagnoses Rectal Cancer

Medical History & Physical Exam

Dr. Chadha begins by reviewing your symptoms (bleeding, bowel-habit changes, pain), personal and family cancer history, and performs a gentle rectal exam.

Colonoscopy with Biopsy

A colonoscopy lets Dr. Chadha visualize the rectal lining directly. Any suspicious lesions are biopsied to confirm malignancy.

Imaging Studies

  • CT Scan or MRI - evaluates tumor size, local invasion, and distant spread.
  • Endorectal Ultrasound - provides detailed local staging in select cases.

Blood Tests

Measurement of tumor markers such as CEA (carcinoembryonic antigen) helps assess disease burden and guide treatment planning.

ICD-10 Coding

For accurate record-keeping and billing, rectal cancer is documented under ICD-10 code C20.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for rectal cancer.

1. Lifestyle and Diet Changes

  • Increase intake of fruits, vegetables and whole grains to support recovery
  • Limit red and processed meats to reduce recurrence risk
  • Engage in at least 30 minutes of moderate exercise most days
  • Maintain a healthy body weight to improve treatment tolerance

2. Medications

  • Chemotherapy protocols designed to destroy cancer cells
  • Targeted therapy based on tumor markers and genetic testing
  • Supportive drugs to manage side effects such as nausea and pain

3. Minimally Invasive or Advanced Procedures

  • Laparoscopic or robotic-assisted surgery for precise tumor removal with faster healing
  • Transanal Minimally Invasive Surgery (TAMIS) for early rectal tumors
  • Endoscopic Submucosal Dissection (ESD) for select small or superficial lesions
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 early signs of rectal cancer?

Bleeding, ongoing bathroom changes, or belly pain.

How is stage 4 rectal cancer different?

It means the cancer has spread. Care focuses on control and comfort.

What's the survival rate for stage 4?

It varies. With today's treatments, many patients live longer and better.

What test finds rectal cancer?

A colonoscopy is the main test. A biopsy confirms it.

What is ICD-10 code C20?

It's the code for rectal cancer used in your medical file.

Can diet help prevent rectal cancer?

Yes. Eating fiber and staying active can lower your risk.

How long is recovery after surgery?

Most patients go home in 1-3 days. Full recovery takes 2-4 weeks.

Are there non-surgical options?

Yes. You may get chemotherapy, radiation, or targeted drugs.

When should I see a doctor?

If you notice bleeding or long-term bowel changes, book a visit.

Does family history matter?

Yes. If a close relative had colon cancer, start screening earlier.

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