Bowel, rectal & anal care
Colorectal and anorectal care, guided by the actual cause
Confidential specialist assessment for bleeding, pain, swelling, discharge, bowel-pattern changes or an unexpected report—followed by an individual plan based on examination and relevant findings.
- Respectful, confidential review
- Diagnosis before treatment
- Preparation and follow-up clarity
When to consult
Concerns a colorectal review can explore
Rectal and bowel symptoms can have several causes. A focused consultation helps avoid assuming that every episode of pain or bleeding is piles.
Rectal bleeding or mucus
Visible blood, mucus or repeated staining that needs an appropriate clinical explanation rather than self-diagnosis.
Pain during or after a bowel movement
Sharp, burning, throbbing or persistent anal discomfort, including pain associated with constipation or a tender swelling.
Lump, prolapse, swelling or discharge
A new or recurring lump, tissue that protrudes, irritation, pus or discharge near the anal area.
Bowel-pattern change or unexpected finding
A persistent change in bowel movements, difficulty emptying, or a colonoscopy, scan or pathology result that needs specialist interpretation.
Consultation pathway
A private review before treatment decisions
The symptom pattern, examination and existing reports guide whether conservative care, further investigation, a procedure discussion or coordinated referral is appropriate.
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Confidential history
Understand the concern and its daily impact
Discuss bowel habits, duration, pain, bleeding, discharge, earlier treatment, medicines, family history and relevant health conditions. - 02
Focused assessment
Examine and review useful findings
A respectful examination and, when relevant, laboratory, imaging, endoscopic or pathology review help identify the cause. - 03
Individual care plan
Explain the suitable next steps
Options may include bowel-habit measures, medicines, office-based care, further testing, a procedure or surgical planning.
Condition clarity
Piles, fissure and fistula can share symptoms—but need different pathways
Pain, bleeding, swelling or discharge does not identify the diagnosis by itself. Examination helps distinguish common anorectal conditions from other rectal or bowel causes and determines whether additional testing is useful.
If a procedure is considered, the indication, alternatives, preparation, anaesthesia, care location, recovery and follow-up should be explained before a decision is made.

Your colorectal and surgical-gastro specialist
Dr. B. Varun
Consultant Surgical Gastroenterologist
Focused assessment of colorectal, rectal and anorectal concerns, with symptoms, examination and available reports considered together before conservative, procedural or surgical options are discussed.
Why choose SHIVA Uro & Gastro for colorectal care
Respectful assessment before choosing treatment
Sensitive symptoms are discussed privately, examined appropriately and connected to a clear plan without assuming a diagnosis from the symptom alone.
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Private, respectful consultation
Sensitive symptoms and examination questions can be discussed confidentially and without embarrassment.02
Diagnosis before treatment
Examination and useful reports help distinguish the condition before conservative or procedural options are considered.03
Clear next-step planning
Options, preparation, care location, recovery and follow-up are explained when a procedure forms part of the plan.Common questions
Colorectal and anorectal consultation FAQs
These answers are general and cannot diagnose the cause of bleeding, pain, swelling, discharge or bowel-pattern changes.
Browse all patient FAQsIs all rectal bleeding caused by piles?
No. Piles are one possible cause, but fissures and other anal, rectal or bowel conditions can also cause bleeding. Persistent or unexplained bleeding should be assessed.
Will I automatically need a colonoscopy?
No. The need for colonoscopy or another investigation depends on the symptoms, age, examination, earlier reports, family history and the treating specialist’s assessment.
Will every anorectal condition require surgery?
No. Treatment depends on the diagnosis, severity, recurrence and earlier care. Bowel-habit measures, medicines or office-based options may be appropriate in some situations, while a procedure may be discussed in others.
When should urgent medical help be sought?
Seek urgent assessment for heavy or nonstop bleeding, severe or rapidly worsening pain, fever, marked swelling, vomiting, abdominal distension or feeling significantly unwell.
Plan the next step
Request a private colorectal consultation
Contact SHIVA Uro & Gastro to confirm the appropriate appointment pathway and current clinic availability.