Many people put up with bowel symptoms for months because they feel embarrassed or assume the cause is “just piles”. Most bowel problems are not serious and are easy to treat, but a few need early attention. This guide explains when to see a colorectal surgeon, which warning signs should not be ignored and what happens at the first visit.
What does a colorectal surgeon treat?
A colorectal surgeon is a specialist in diseases of the colon, rectum and anus. Common conditions include:
- Haemorrhoids (piles), anal fissure and fistula
- Rectal prolapse
- Polyps and cancer of the colon and rectum
- Long-standing constipation and other bowel disorders
- Conditions that need a colonoscopy to diagnose
Warning signs you should not ignore
Please arrange a consultation if you notice any of the following:
- Blood in the stool or bleeding from the back passage, whether bright red or dark
- A change in bowel habit that lasts more than a few weeks, such as new constipation, loose stools or narrower stools
- A lump, swelling or tissue coming out at the anus
- Pain during or after a bowel movement that does not settle
- Unexplained weight loss, tiredness or anaemia
- Ongoing abdominal pain or bloating
- A family history of bowel cancer or polyps
These symptoms have many causes and most are not cancer. The only way to know is to be examined.
When is it urgent?
Go to the nearest hospital emergency department if you have heavy bleeding, severe abdominal pain with vomiting, a swollen abdomen and you cannot pass stool or wind, or a painful lump at the anus with fever.
What happens at the consultation?
The surgeon will ask about your symptoms, your medicines and your family history, and then examine you. Depending on the findings you may be advised to have blood tests, a proctoscopy, a colonoscopy or a scan. Many conditions are treated with medicine and changes in diet; surgery is advised only when it is needed.
It helps to bring your previous prescriptions, test reports and a list of your current medicines.
Why early assessment matters
Piles, fissures and fistulas are easier to treat before they become complicated. Polyps can be removed before they turn into cancer. Bowel cancer found early is far more treatable than cancer found late. Waiting rarely makes a bowel problem simpler.
Frequently asked questions
Is bleeding always caused by piles?
No. Piles are the most common cause, but fissures, polyps, inflammation and cancer can also cause bleeding. Bleeding should always be checked, especially after the age of 40 or if it keeps returning.
Do I need a referral?
No referral is needed. You can book a serial directly at any of the chambers.
Will I need surgery?
Not necessarily. Many patients improve with medicine, diet and simple procedures. The surgeon will explain the options after examining you.
To see Dr. Fayem Chowdhury Sony, request an appointment or view the chamber addresses and visiting hours.
This article is for general awareness and does not replace a consultation with a doctor.