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Rectal Polyps

Rectal polyps are small growths in the rectum that start harmless but can become cancerous if untreated. Dr. Rishi Chadha at GastroDoxs in Houston provides expert screening, advanced diagnostics and minimally invasive treatments to detect, remove and prevent polyps effectively.

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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.

Common Causes and Risk Factors

  • Family history of colon cancer or polyps
  • Age over 50
  • Ulcerative colitis or Crohn's disease
  • Eating lots of red meat and little fiber
  • Smoking and heavy alcohol use
  • Being overweight or inactive

Signs and Symptoms

  • Blood in stool or rectal bleeding
  • Ongoing constipation or diarrhea
  • Mucus in the stool
  • Belly cramps or mild pain
  • Low iron or anemia from slow bleeding

How Dr. Rishi Chadha Diagnoses Rectal Polyps?

At his Houston clinic, Dr. Chadha uses simple, safe tools to find polyps:

Digital Rectal Exam (DRE)

Quick in-office check to feel for any abnormal lumps along the rectal wall.

Colonoscopy

A flexible, camera-equipped scope examines the entire colon and rectum for polyps and allows immediate removal of small growths.

Flexible Sigmoidoscopy

A focused scope views the lower colon (sigmoid and rectum) to detect any polyps or mucosal changes.

Biopsy

Suspected polyps are sampled and sent to pathology to identify the type of polyp and assess cancer risk.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for rectal polyps at GastroDoxs.

1. Lifestyle and Diet Changes

  • Eat more fiber-fruits, vegetables, and whole grains
  • Drink 6-8 glasses of water daily
  • Cut back on red meat and processed food
  • Quit smoking and limit alcohol
  • Exercise regularly to maintain a healthy weight

2. Medications

  • Anti-inflammatory drugs for people with IBD
  • Aspirin or NSAIDs may help lower risk (under doctor's guidance)

3. Minimally Invasive or Advanced Procedures

  • Colonoscopy Polypectomy: Removes small polyps
  • Endoscopic Mucosal Resection (EMR): Removes larger polyps
  • Laparoscopic Surgery: For hard-to-reach or complex polyps
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 rectal polyps?

Rectal polyps are small growths on the inside lining of the rectum that often start as harmless lumps but can turn cancerous if not removed.

Are they always cancer?

No. Most rectal polyps are benign, but some types can develop into cancer over time if left untreated.

What causes rectal polyps?

Common causes and risk factors include age over 50, family history of colon cancer or polyps, ulcerative colitis or Crohn's disease, a low-fiber/high-red meat diet, smoking, heavy alcohol use, and obesity.

What types of polyps are there?

The main types are hyperplastic (usually harmless), adenomatous (can become cancerous), and inflammatory (often linked to IBD).

What symptoms should I look for?

Many people have no symptoms. When present, signs include blood in the stool, rectal bleeding, ongoing constipation or diarrhea, mucus in the stool, and mild abdominal cramps or pain.

Can polyps be confused with hemorrhoids?

Yes. Both can cause rectal bleeding. A colonoscopy or flexible sigmoidoscopy is needed to distinguish polyps from hemorrhoids.

How are they diagnosed?

Dr. Chadha diagnoses rectal polyps with a digital rectal exam (DRE), colonoscopy, flexible sigmoidoscopy, and if needed, a biopsy to assess polyp risk.

How are they treated?

Treatment options include lifestyle and diet changes, medications (e.g., anti-inflammatories, NSAIDs), colonoscopic polypectomy, endoscopic mucosal resection (EMR), and laparoscopic surgery for complex cases.

Can I prevent them?

Yes. Preventive measures include eating a fiber-rich diet, drinking plenty of water, maintaining a healthy weight through regular exercise, and avoiding smoking and excessive alcohol.

When should I get a colonoscopy in Houston?

Screening colonoscopies are generally recommended starting at age 45-50, then every 5-10 years based on findings and your doctor's advice.

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