At the heart of all the treatments offered is a patient-centred approach. Ensuring you are fully informed of all options and have a detailed understanding of the treatment offered is of utmost importance. Mr Chand believes in a collaborative approach with his patients whereby all decisions are made together. 


All procedures are carried out using the latest modern equipment in line with national guidance. Mr Chand is appropriately accredited for all treatments offered.


Bleeding from the back passage can be caused by a number of conditions. Whilst most cases are self-limiting and usually due to less serious conditions such as haemorrhoids or an anal fissure, it can represent something more serious. It is commonly investigated using a telescopic camera into the bowel called a colonoscopy or flexible sigmoidoscopy.


Most people are aware of a pattern to their bowel habit. A change may result in diarrhoea or constipation. This can be due to a new diet or medication or even a mild gasteroenteritis. However, sometimes this may represent a more chronic condition and this needs further investigation commonly with a colonoscopy.


Colorectal cancer is one of the most common cancers  with approximately 40,000 new cases per year in the UK. Symptoms may include bleeding form the bottom or blood in your stool, a change in bowel habit and weight loss. It is important to consult your doctor early and have an appropriate investigation such as colonoscopy. When caught early, most cases are treatable with an operation. All cases are discussed in the London Clinic MDT alongside a specialist team of radiologists, oncologists pathologists and specialist nurses.

You may read Mr Chand’s latest publication in Nature journal on the management of rectal cancer here and more information at Cancer Research UK here.


A fissure is a small tear in the lining between the skin and the anus. It is commonly caused by a hard stool during constipation. You may experience severe sharp pain on going to the toilet along with bright red blood in your stool.


Haemorroids, also known as piles, occur when the lining of the anal canal becomes engorged with blood. This is commonly associated with straining on the toilet and constipation however they can occur spontaneously. They can cause bleeding most frequently but also other symptoms such as discomfort, itchiness and lumps in the bottom.

You may read Mr Chand’s review on hemorrhoids and rectal bleeding here.  


IBD includes Crohn's Disease and Ulcerative Colitis. Symptoms commonly include diarrhoea, abdominal discomfort and pain, weight loss, and mucus discharge. Mr Chand favours a multidisciplinary approach for these conditions and works with a fantastic team of radiologists, nutritionists and gastroenterologists to offer bespoke treatment plans.

You can read Mr Chand's published review on IBS here


Anal fistula can develop after having an abscess in the bottom. It can lead to annoying and persistent discharge as a communication is established between the skin near the anus and the rectum. Often these can be treated with a simple operation but in some cases a series of procedures are needed using a variety of techniques. Mr Chand offers a spectrum of treatments tailored by the best MRI equipment.