Colorectal Conditions & Treatments in Dhaka
Colorectal Conditions & Treatments in Dhaka — Expert Care by Dr. Muhammad Nazrul Islam
If you’re experiencing rectal bleeding, anal pain, or persistent bowel problems, you’re not alone. These conditions are very common in Bangladesh — but most people delay treatment because they feel embarrassed or don’t know where to get proper care.
This page explains all colorectal conditions treated by Dr. Muhammad Nazrul Islam in Dhaka — from common problems like piles and fissure to serious conditions like colorectal cancer. You’ll learn what causes each condition, when you need treatment, and what treatment options are available in Bangladesh.
What is Colorectal Surgery?
Colorectal surgery treats diseases of the colon (large intestine), rectum, and anus. This includes both emergency conditions (like bowel obstruction) and planned surgeries (like piles operation, fistula repair, or cancer surgery).
Dr. Nazrul Islam is one of the few surgeons in Bangladesh with specialized training in colorectal surgery (MS in Colorectal Surgery). He has 20+ years of experience and has performed over 50,000 colorectal procedures.
Why Choose Dr. Muhammad Nazrul Islam for Colorectal Treatment?
When you’re looking for a colorectal surgeon in Dhaka, you want someone with the right qualifications, real experience, and access to modern treatment methods. Here’s why patients trust Dr. Nazrul Islam:
🎓 Highest Qualifications in Bangladesh
FCPS (Surgery) — the highest surgical qualification in Bangladesh
MS (Colorectal Surgery) — specialized training in colorectal and anorectal surgery
FACS — Fellow of the American College of Surgeons
Very few surgeons in Bangladesh have all three qualifications combined.
📊 20+ Years Real Experience
Dr. Nazrul has treated over 300,000 patients and performed more than 50,000 surgical procedures. This level of experience means better outcomes for you — especially for complex conditions like fistula, rectal prolapse, or colorectal cancer.
🏥 Teaching Hospital Appointment
Dr. Nazrul is Assistant Professor at Shaheed Suhrawardy Medical College & Hospital. This means he stays updated with the latest treatment methods and handles the full range of colorectal conditions — from simple to complex cases.
🔬 Modern Treatment Methods Available
Dr. Nazrul uses minimally invasive techniques when suitable:
- MIPH (stapled piles surgery) — daycare procedure, faster recovery
- VAAFT (video-assisted fistula treatment) — preserves sphincter muscle
- Laparoscopic surgery — smaller incisions, less pain
- Sphincter-preserving cancer surgery — avoids permanent colostomy when possible
All Colorectal Conditions We Treat
Below are all the colorectal conditions Dr. Nazrul treats in Dhaka. Click on your condition to learn more about symptoms, causes, and treatment options:
1. Piles / পাইলস / Haemorrhoids
Most common problem: 50-60% of Bangladeshis experience piles at some point. Symptoms include bleeding during bowel movements, itching, pain, or a lump near the anus. Most cases can be managed with medicine and lifestyle changes. Surgery (MIPH or conventional haemorrhoidectomy) is needed for Grade III-IV piles.
2. Rectal Bleeding / পায়খানায় রক্ত
Don’t ignore blood in stool: While piles are the most common cause, rectal bleeding can also be caused by fissure, polyps, or even colorectal cancer. Never assume it’s “just piles” without proper examination. Dr. Nazrul will identify the exact cause and recommend appropriate treatment.
3. Anal Fissure / পায়ুপথে ঘা
Sharp pain during bowel movements: A fissure is a small tear in the anal canal. It causes severe pain during and after passing stool, often with bright red bleeding. Most fissures heal with stool softeners and ointments. Chronic fissures (lasting more than 6 weeks) may need a simple surgery called lateral sphincterotomy.
4. Fistula / ভগন্দর / Anal Fistula
Persistent discharge and pain: A fistula is an abnormal tunnel between the rectum and skin near the anus. It usually develops after an abscess. Symptoms include discharge of pus or blood, pain, and recurrent swelling. Fistulas don’t heal on their own — surgery is required. Dr. Nazrul uses VAAFT technique for complex fistulas to preserve sphincter function.
5. Constipation / কোষ্ঠকাঠিন্য
Chronic difficulty passing stool: Many Bangladeshis suffer from chronic constipation but don’t seek proper treatment. Symptoms include infrequent bowel movements, hard stools, straining, and feeling of incomplete evacuation. Dr. Nazrul will identify the underlying cause (slow transit, outlet obstruction, or pelvic floor dysfunction) and recommend appropriate medical or surgical treatment.
6. Anal Itching / মলদ্বারে চুলকানি
Persistent itching around the anus: This embarrassing problem has many causes — piles, fistula, pinworm infection, fungal infection, poor hygiene, or skin conditions. Accurate diagnosis is essential for effective treatment. Once the cause is identified, anal itching is usually very treatable.
7. Rectal Prolapse / মলদ্বার বের হয়ে আসা
Rectum comes out of the anus: This condition is more common in elderly women but can affect anyone. The rectum protrudes outside the anus during bowel movements or physical activity. It’s often mistaken for piles. Treatment is surgical (rectopexy operation). Dr. Nazrul’s recurrence rates are well below the national average.
8. Proctitis & Rectal Pain / মলদ্বারে ব্যথা
Inflammation of the rectum: Proctitis causes rectal pain, urgency, and discharge. It has several causes including ulcerative colitis, infections (STI, TB), radiation therapy, or solitary rectal ulcer. Treatment depends on identifying and treating the underlying cause.
9. Pilonidal Sinus / নিতম্বের ঘা
Recurrent abscess between the buttocks: Very common in young men. A pilonidal sinus is a tract in the natal cleft that gets infected repeatedly, causing pain, swelling, and discharge. Simple excision has high recurrence rates (15-40%). Dr. Nazrul performs advanced flap procedures (Karydakis or Limberg) with less than 5% recurrence.
10. Colon & Rectal Cancer / কোলন ক্যান্সার
The most serious colorectal condition: Colorectal cancer is the 3rd most common cancer worldwide. In Bangladesh, most patients present at advanced stages. Warning signs include rectal bleeding, change in bowel habits, weight loss, and abdominal pain. Early detection saves lives. Treatment includes surgery (colectomy or sphincter-preserving rectal surgery) plus chemotherapy if needed. Colonoscopy screening is available for high-risk patients.
11. Ulcerative Colitis / রক্ত আমাশয় (IBD)
Chronic inflammatory bowel disease (NOT infection): Often misdiagnosed in Bangladesh as infectious dysentery and treated with antibiotics for years without improvement. Ulcerative colitis is an autoimmune condition causing chronic diarrhea, blood in stool, abdominal pain, and weight loss. Proper diagnosis requires colonoscopy with biopsy. Treatment includes medicines (mesalazine, immunosuppressants, biologics) or surgery if medicines fail.
12. Crohn’s Disease / পেটের প্রদাহ (IBD)
Chronic inflammatory bowel disease affecting any part of the gut: In Bangladesh, Crohn’s disease must be carefully differentiated from intestinal tuberculosis before starting immunosuppressant treatment. Crohn’s causes chronic diarrhea, abdominal pain, weight loss, and perianal fistulas in 30% of patients. Surgery is NOT curative — the disease can come back. Medical management is the first-line treatment.
Common Questions About Colorectal Conditions
When should I see a colorectal surgeon?
See a colorectal surgeon if you have: rectal bleeding (any amount), persistent anal pain, a lump near the anus, chronic constipation or diarrhea, change in bowel habits, discharge from the anus, or a family history of colorectal cancer. Don’t delay — early treatment prevents complications.
Is rectal bleeding always caused by piles?
No. While piles are the most common cause, rectal bleeding can also be caused by anal fissure, polyps, inflammatory bowel disease, diverticulosis, or colorectal cancer. Never assume it’s “just piles” without proper examination. A colorectal surgeon will identify the exact cause.
What is MIPH for piles?
MIPH (Procedure for Prolapse and Haemorrhoids) is a modern stapled surgery for Grade III-IV piles. It’s a daycare procedure — you go home the same day. Benefits include: no external wound, less pain than conventional surgery, faster recovery (1-2 weeks), and you can return to work sooner. Dr. Nazrul performs MIPH for suitable patients.
How long is recovery after colorectal surgery?
Recovery time depends on the type of surgery: MIPH (piles): 1-2 weeks for desk work, 4-6 weeks for heavy work. Fistula surgery: 2-3 weeks for desk work, 6-8 weeks for heavy work. Rectal prolapse surgery: 4-6 weeks for desk work. Colectomy (cancer surgery): 6-8 weeks for desk work, 3-4 months for heavy work.
Are female patients comfortable seeing a male colorectal surgeon?
Yes. Dr. Nazrul’s clinic provides complete privacy for female patients — separate consultation areas and female nursing staff are available. Many women delay treatment for colorectal conditions due to embarrassment, but these are medical conditions that need proper care. Dr. Nazrul treats all patients with professional respect and dignity.
Need Help with a Colorectal Condition?
Whether you have rectal bleeding, anal pain, or any other colorectal problem — don’t wait. Early treatment prevents complications and gives you better outcomes.
📞 Call or WhatsApp Dr. Nazrul Islam:
+880 1976-842234
About This Page
Written by: Md. Salauddin Biswas
MA Medical Anthropology (Heidelberg University, Germany) | Senior Research Associate, BRAC University | Published researcher in healthcare access and patient behaviour in South Asia.
Medically reviewed by: Dr. Muhammad Nazrul Islam
FCPS (Surgery) · MS (Colorectal Surgery) · FACS
Colorectal & General Surgeon, Dhaka
Assistant Professor, Shaheed Suhrawardy Medical College
20+ years experience · 50,000+ procedures · 300,000+ patients treated
Last medical review: March 2026
⚠️ Medical Disclaimer: This page provides general health information only. It does not replace professional medical advice, diagnosis, or treatment. If you have rectal bleeding, severe pain, or any emergency symptoms, go to the hospital immediately. For consultation about any colorectal condition in Dhaka, contact Dr. Muhammad Nazrul Islam at +880 1976-842234.