Proctology Consultation by Senior Colorectal Surgeons
Expert evaluation, digital rectal exams, and advanced diagnostic guidance for hemorrhoids, fissures, rectal bleeding, and colorectal health concerns.
First Treatment Center dedicated to Proctology Consultation
प्रोक्टोलोजी परामर्शको लागि समर्पित पहिलो उपचार केन्द्र
What is Proctology ?
Proctology is the medical profession that specializes in the diagnosis and treatment of disorders affecting the rectum, anus, and colon, generally known as the lower digestive system. While “proctology” is still a recognized term, it is less widely used nowadays. Doctors that specialize in this field are now more commonly known as colorectal surgeons or colon and rectal surgeons.
प्रोक्टोलोजी भनेको के हो ?
प्रोक्टोलोजी चिकित्सा पेशा हो जसले मलाशय, मलद्वार, र कोलोनलाई असर गर्ने विकारहरूको निदान र उपचारमा विशेषज्ञता दिन्छ, जसलाई सामान्यतया तल्लो पाचन प्रणाली भनिन्छ। जबकि “प्रोक्टोलोजी” अझै पनि एक मान्यता प्राप्त शब्द हो, यो आजकल कम व्यापक रूपमा प्रयोग गरिन्छ। यस क्षेत्रमा विशेषज्ञ डाक्टरहरू अब सामान्यतया कोलोरेक्टल सर्जन वा कोलोन र रेक्टल सर्जनहरू भनेर चिनिन्छन्।

Proctologist Consultation Procedure
A proctologist consultation consists of a history review, physical exam (DRE), diagnostic testing, therapy discussion, and follow-up for rectal and anal health assessments. Proctology consultations often include the following steps:
- Schedule an appointment with our proctologist physician.
- Discuss your medical history, including any medications, relevant illnesses, and family background.
- The proctologist will examine your rectal and anal areas for abnormalities using methods such as ocular inspection and digital rectal examination (DRE).
- Additional procedures, including as an anoscopy, colonoscopy, or imaging scans, may be required to thoroughly analyze your situation.
- The proctologist will go through the outcomes, review treatment options, and create an individual strategy.
- Attend follow-up appointments as needed to monitor progress and modify therapy.
प्रोक्टोलोजी परामर्श प्रक्रिया
प्रोक्टोलोजिस्ट परामर्शमा इतिहास समीक्षा, शारीरिक परीक्षा (DRE), डायग्नोस्टिक परीक्षण, थेरापी छलफल, र गुदा र गुदा स्वास्थ्य मूल्याङ्कनहरूको लागि फलो-अप समावेश हुन्छ। प्रोक्टोलोजी परामर्शले प्राय: निम्न चरणहरू समावेश गर्दछन्:
- हाम्रो प्रोक्टोलोजिस्ट चिकित्सकसँग भेटघाटको समय तालिका बनाउनुहोस्।\
- कुनै पनि औषधि, सान्दर्भिक रोगहरू, र पारिवारिक पृष्ठभूमि सहित आफ्नो चिकित्सा इतिहास छलफल गर्नुहोस्।
- प्रोक्टोलोजिस्टले ओकुलर इन्स्पेक्शन र डिजिटल रेक्टल एग्जामिन (DRE) जस्ता विधिहरू प्रयोग गरेर असामान्यताहरूका लागि तपाईंको मलाशय र गुदा क्षेत्रहरूको जाँच गर्नेछन्।
- अतिरिक्त प्रक्रियाहरू, एनोस्कोपी, कोलोनोस्कोपी, वा इमेजिङ स्क्यानहरू सहित, तपाईंको अवस्थालाई राम्ररी विश्लेषण गर्न आवश्यक हुन सक्छ।
- प्रोक्टोलोजिस्टले परिणामहरू मार्फत जानेछ, उपचार विकल्पहरूको समीक्षा गर्नेछ, र एक व्यक्तिगत रणनीति सिर्जना गर्नेछन्।
- प्रगति अनुगमन गर्न र थेरापी परिमार्जन गर्न आवश्यक अनुसार अनुगमन अपोइन्टमेन्टहरूमा भाग लिनुहोस्।
When should you visit a proctologist ?
तपाईंले प्रोक्टोलोजिस्टलाई कहिले भेट्नुपर्छ?

1. Rectal Bleeding / दिसा गर्दा रगत आउने:
Rectal bleeding, especially if bright red, may suggest hemorrhoids, anal fissures, or colorectal cancer.
यदि दिसा गर्दा विशेषगरी चम्किलो रातो रगत देखिन्छ भने, यो पाइल्स (बवासीर), एनल फिसर (गुदद्वार चिरिने समस्या) वा कोलोरेक्टल क्यान्सर जस्ता समस्याको संकेत हुन सक्छ।
2. Changes in Bowel Habits / दिसा गर्ने बानीमा परिवर्तन:
If you have major changes in your bowel habits, such as persistent constipation, diarrhea, or alternating between the two, consult a proctologist to rule out underlying illnesses like IBS or IBD.
यदि तपाईंलाई लामो समयसम्म कब्जियत, पखाला वा यी दुवै समस्या पालैपालो भइरहन्छ भने, यसको कारण पत्ता लगाउन प्रोक्टोलोजिस्टसँग परामर्श गर्नु आवश्यक हुन्छ। यस्ता लक्षणहरू इरिटेबल बाउल सिन्ड्रोम (IBS) वा इन्फ्लेमेटरी बाउल डिजिज (IBD) जस्ता रोगसँग सम्बन्धित हुन सक्छन्।
3. Anal Pain or Discomfort / गुदद्वारमा दुखाइ वा असहजता:
Anal pain, itching, burning sensations, or discomfort during bowel movements can indicate problems such as hemorrhoids, anal fissures, abscesses, or infections that need to be evaluated and treated.
यदि गुदद्वारमा दुख्ने, चिलाउने, पोल्ने वा दिसा गर्दा असहज महसुस हुने जस्ता समस्या छन् भने, यो पाइल्स, एनल फिसर, फोका (Abscess) वा संक्रमण जस्ता समस्याको संकेत हुन सक्छ। यस्ता लक्षण देखिएमा समयमै विशेषज्ञसँग जाँच तथा उपचार गराउनु आवश्यक हुन्छ।
4. Presence of Lumps or Masses / गुदद्वार वरिपरि गाँठो वा सुन्निने समस्या देखिनु:
If you observe any lumps, swelling, or masses around the anus, or if the size, shape, or texture of your anal area changes, consult a proctologist to establish the cause and the best course of action.
यदि तपाईंले गुदद्वार वरिपरि गाँठो, सुन्निने वा कुनै असामान्य मासु पलाएको जस्तो महसुस गर्नुभयो, वा त्यस क्षेत्रको आकार, बनावट वा स्वरूपमा परिवर्तन देख्नुभयो भने, यसको कारण पत्ता लगाउन र उचित उपचारका लागि प्रोक्टोलोजिस्टसँग परामर्श गर्नुहोस्।
5. Rectal Prolapse or Incontinence / मलाशय बाहिर निस्किनु वा दिसा नियन्त्रण गर्न नसक्नु:
A proctologist should evaluate rectal prolapse (rectum protrusion through the anus) and fecal incontinence (inability to regulate bowel movements) to determine severity, identify relevant variables, and prescribe treatment options.
यदि मलाशय गुदद्वारबाट बाहिर निस्किने (Rectal Prolapse) वा दिसा नियन्त्रण गर्न नसक्ने (Fecal Incontinence) समस्या छ भने, यसको गम्भीरता मूल्याङ्कन गर्न, कारण पत्ता लगाउन र उपयुक्त उपचार गर्न प्रोक्टोलोजिस्टसँग परामर्श गर्नु आवश्यक हुन्छ।
6. Family History of Colorectal Conditions / कोलोरेक्टल रोगको पारिवारिक इतिहास:
If you have a family history of colorectal cancer, inflammatory bowel disease, or hereditary disorders like familial adenomatous polyposis (FAP) or Lynch syndrome, a proctologist may recommend regular screenings and consultations for early detection and management.
यदि तपाईंको परिवारमा कोलोरेक्टल क्यान्सर, इन्फ्लेमेटरी बाउल डिजिज (IBD) वा फ्यामिलियल एडेनोमेटस पोलिपोसिस (FAP) अथवा लिन्च सिन्ड्रोम (Lynch Syndrome) जस्ता वंशाणुगत रोगहरूको इतिहास छ भने, रोगको समयमै पहिचान र व्यवस्थापनका लागि प्रोक्टोलोजिस्टले नियमित स्वास्थ्य परीक्षण तथा परामर्शको सिफारिस गर्न सक्छन्।
7. Failed Conservative Treatments / सामान्य उपचारले सुधार नआएमा:
If you have tried conservative treatments for piles or anal fissures (e.g., dietary changes, over-the-counter medications, or home remedies) and symptoms persist or worsen, consult a proctologist.
यदि तपाईंले पाइल्स वा एनल फिसरको उपचारका लागि खानपानमा परिवर्तन, प्रिस्क्रिप्सनबिना पाइने औषधि वा घरेलु उपायहरू अपनाउँदा पनि लक्षणहरू कम नभए वा झन् बढ्दै गए भने, उचित उपचारका लागि प्रोक्टोलोजिस्टसँग परामर्श गर्नुहोस्।
READY TO TAKE THE NEXT STEP?
We're Here to Help
You Feel Better.
Whether you have a question, need more information, or are ready to book your consultation – our team is just a call or message away.
Working Hours
Sunday - Friday (3:00 PM - 7:00 PM)
Saturday (8:00 AM - 10:00 PM)
Call Us
9805678379, 01-5907370
Email Us
clinicneonepal@gmail.com
Visit Us
Lokanthali, Bhaktapur, Nepal
~ Testimonials ~
What Our Patients Say
EXCELLENT Based on 56 reviews Posted on Google Sikum LimbuTrustindex verifies that the original source of the review is Google. Nice one❤️Posted on Google dhanbahadur tamangTrustindex verifies that the original source of the review is Google. Nice friendly clinic for treatmentPosted on Google Phurba TamangTrustindex verifies that the original source of the review is Google. One of the best clinic for treatmentPosted on Google Lopasang GurungTrustindex verifies that the original source of the review is Google. I live abroad and was on holiday in Nepal. I had internal hemorrhoids since 2013 but I ignored it and decided not to treat it. When I was on holiday in Nepal last year 2025, I started to experience relentless discharge and pain while I seat. The pain was so immense that I decided to get surgery. Now the question is where do I go? I asked chat GPT and got Neo clinic as the top choice. I went to the clinic and to my surprise, they do triage (OPD) and surgery on same day. I went there at 4 pm and by 9PM, I was at my house. I was diagnosed with 3rd grade hemmoroids which i was aware of and fistula which was causing me a lot of pain. Thanks to Dr Romi Dahal (surgeon) and his team and the nurse Abishek bhai. They were extremely professional and made me feel very comfortable through out the process. It’s been a month and now I feel like a new and happy man. Thank you Clinic Neo. With that being said, if you experience symptoms of fistula, then I would recommend you immediately go check up because I later on found out that the reason one of my cousin passed away was the infection caused by fistula which she ignored. I know it’s kind of embarrassing which was exactly my initial thought before i got surgery, but trust me, Clinic Neo is the way to go.Posted on Google zygote69Trustindex verifies that the original source of the review is Google. I recommend, very good service, affordable price, after 12 years my piles stopped bothering me in one day, I don't know why I waited so long, thank you very muchPosted on Google Narayan ShresthaTrustindex verifies that the original source of the review is Google. Excellent specialised treatment.
Frequently Asked Questions
High fiber food, Apples, Legumes, Bananas, Watermelons, Cucumbers, Raspberries, Potatoes, Broccoli, Cauliflower, etc.
उच्च फाइबर खाना, स्याउ, फलफूल, केरा, तरबूज, काकडीहरू, रास्पबेरी, आलु, ब्रोकाउली, फूलगोभी, आदि I
Red Meat, Low-fiber foods, Oily foods, Fatty, hot and spicy foods, Caffeinated drinks and beverages, Alcohol, Smoking, etc.
रातो मासु, कम फाइबरयुक्त खानाहरू, तेलयुक्त खानेकुराहरू, चिल्लो, मसालेदार खानाहरू, क्याफिनयुक्त पेय पदार्थ, रक्सी, धुम्रपान, आदि
Involves no cuts or incisions, No risk of infections, No scar formation, No major post-surgical complications, Minimal bleeding compared to open piles surgery, Fast recovery, etc.
कुनै काट्ने वा चीरा समावेश हुदैन, संक्रमणको जोखिम कम हुन्छ, कुनै दाग बस्दैन, सल्यक्रिया पछि जटिलता हुदैन, ओपन पायल्स सर्जरीको तुलनामा न्यूनतम रक्तस्राव, छिटो निको हुन्छ, आदि
It ranges from 30 – 60 thousand depending on the case.
केस मा निर्भर गर्दछ र यो ३० देखि ६० हजार सम्म हुन सक्छ।
You only need to remain at the hospital for two hours after surgery. We will contact you for a single follow-up appointment to ensure that everything is satisfactory, and if so, no further follow-ups will be necessary after your laser treatment for piles.
शल्यक्रिया पछि तपाईले दुई घण्टा मात्र अस्पतालमा बस्नु पर्छ। सबै कुरा सन्तोषजनक छ भन्ने कुरा सुनिश्चित गर्न हामी तपाईंलाई एक चोटी फलो-अप अपोइन्टमेन्टको लागि सम्पर्क गर्नेछौं, र यदि सबै कुरा ठिक छ भने, तपाईंको पायल्सको लेजर उपचार पछि थप फलो-अपहरू आवश्यक पर्दैन।
A team consisting of a senior GI surgeon of Teaching Hospital, an Anesthesiologist, and medical staffs (Nurse).
शिक्षण अस्पतालका वरिष्ठ जीआई सर्जन, एनेस्थेसियोलोजिष्ट र मेडिकल स्टाफ (नर्स) सम्मिलित टोलीद्वारा लेजर सल्यक्रिया गरिनेछ
You can visit Clinic Neo from Sunday to Friday at 3 – 7 PM and on Saturday from 8 – 10 PM. You can call 9805678379 and 01-5907370.
तपाईं आइतवार देखि शुक्रवार सम्म साझ ३ देखि ७ र शनिबार बिहान ८ देखि १० सम्म क्लिनिक नियोमा आएर चेकअप गर्न सक्नुहुन्छ। डाकटर संग समय लिनको लागि ९८०५६७८३७९ र ०१-५९०७३७० मा सम्पर्क गर्न सक्नुहुन्छ
Our Recent Blogs

5 min read
Anal Fissure: Symptoms, Causes, Types and Treatment in Nepal
Experiencing sharp pain during bowel movements or noticing blood after passing stool can be worrying. These symptoms are often ignored or mistaken for piles (hemorrhoids), causing many people to delay

5 min read
Common Myths About Piles: What Doctors Really Say

5 min read
Things to Dos and Don’ts During Piles

5 min read
Endoscopy vs. Colonoscopy? Understanding the Key Differences

5 min read
Pilonidal Sinus: Causes, Symptoms, and Treatment Options

5 min read
Effective Nepalese Home Remedies to Relieve Constipation
https://www.youtube.com/watch?v=IYu3gABXo5Q Have you ever felt that heavy, bloated sensation in your lower abdomen after a hearty plate of Dal Bhat? You are not alone. Constipation is one of the most
