Medical Conditions

A summary of the conditions my team and I are experienced in treating, with a commitment to making your care journey as clear and supportive as possible.

I see patients for a wide range of colorectal and general conditions, from common concerns like haemorrhoids to complex issues such as bowel cancer and endometriosis involving the bowel. Whether you’re experiencing new symptoms or managing a long-standing diagnosis, I work with you to find the most appropriate, evidence-based treatment.

Colorectal Conditions

  • Colorectal cancer develops in the lining of the bowel or rectum. It’s often detected through changes in bowel habits, bleeding, or found during screening.

    I assess each case through imaging, colonoscopy, and pathology, then coordinate treatment with oncologists and GPs. When surgery is needed, I typically offer minimally invasive or robotic techniques where possible.

    Early referral leads to better outcomes, and I prioritise urgent cases within one week.

  • Polyps are small growths in the lining of the colon or rectum. While most are harmless, some can develop into cancer over time.

    They're often found during colonoscopy and removed at the same time. In some cases, larger or suspicious polyps may require surgery.

  • In cases where endometriosis affects the bowel, symptoms can include pain during bowel movements, bloating, and changes in bowel habits.

    I collaborate closely with gynaecologists to plan surgical treatment, often using minimally invasive or robotic techniques to remove affected tissue while protecting surrounding structures.

Anal & Perianal Conditions

  • Haemorrhoids are swollen blood vessels in the anus or rectum that can bleed, itch, or cause discomfort.

    Depending on the type and severity, I may recommend lifestyle changes, medications, banding, or surgical removal. Most procedures are minimally invasive and well-tolerated.

  • An anal fissure is a small tear in the skin around the anus, often causing sharp pain during bowel movements.

    If it’s recent, we often start with creams and dietary changes. If symptoms persist, I may recommend a small surgical procedure to relax the muscle and allow healing.

  • Fistulas are abnormal tunnels between the anal canal and skin. They often develop after an abscess or infection.

    Treatment is usually surgical and depends on the complexity of the fistula. I’ll explain the options in detail and tailor the approach to minimise risk and promote healing.

  • An anal abscess is a painful, swollen collection of pus near the anus or rectum.

    It requires urgent drainage, often under anaesthesia. I’ll ensure this is done promptly and review healing to prevent recurrence or progression to a fistula.

  • A pilonidal sinus is a small tunnel or cavity near the tailbone, often containing hair and prone to infection.

    It can be painful and recurring. If simple cleaning and dressings aren’t enough, I may recommend surgical removal to prevent ongoing issues.

  • Bleeding from the rectum can be caused by anything from haemorrhoids to polyps or cancer.

    I perform a thorough assessment which may include a rectal exam, colonoscopy, or scans, to identify the cause. Once we understand what’s behind the bleeding, I’ll guide you through treatment options.

Functional Bowel & Pelvic Floor Disorders

  • Faecal incontinence, the loss of control over bowel movements,  can be distressing, but it’s more common than many people realise.

    I begin with a thorough assessment, which may include physical exams and checking anal pressures (anal manometry). Treatment options vary depending on the cause and may include pelvic floor therapy, dietary changes, or surgical procedures to restore muscle function or control.

  • If you're experiencing chronic constipation, straining, or a sensation of incomplete emptying, I assess for structural issues such as rectoceles or rectal prolapse.

    When conservative management hasn’t worked, surgical options may help restore normal bowel function. I always begin with the least invasive approach possible.

  • This occurs when part of the rectum pushes through the anus, often with a feeling of something "coming out" or difficulty controlling bowel movements.

    Depending on the severity, I may recommend surgery, usually through a minimally invasive abdominal approach, particularly for younger or medically fit patients.

Inflammatory Conditions

  • Diverticula are small pouches that form in the wall of the colon. When they become inflamed or infected, this is called diverticulitis.

    Mild cases are managed with antibiotics and rest. For recurrent or complicated cases, such as abscesses or perforations, I may recommend surgery to remove the affected section of bowel.

  • Crohn’s disease is a type of inflammatory bowel disease that can affect any part of the gastrointestinal tract.

    I work closely with your gastroenterologist to manage complications such as strictures, abscesses, or fistulas. When surgery is necessary, I use minimally invasive techniques to reduce recovery time and preserve bowel function where possible.

  • Ulcerative colitis affects the inner lining of the colon and rectum, often causing diarrhoea, bleeding, and pain.

    When medical treatment no longer works or complications arise, surgery to remove part or all of the colon may be required. I tailor each surgical plan based on the extent of disease and your long-term goals.

General Surgery

  • A hernia occurs when part of an organ or tissue pushes through a weak spot in the muscle wall, often in the abdomen or groin.


    You might notice a lump, discomfort, or pain, especially with movement. If left untreated, hernias can worsen over time. Surgical repair is usually straightforward, and I’ll walk you through the process clearly to ensure you feel confident and supported.

  • Gallbladder conditions, including gallstones, can cause pain, nausea, or digestive symptoms, especially after eating.


    If symptoms persist, surgery to remove the gallbladder is often the best option. I use minimally invasive (keyhole) techniques to help you recover quickly and comfortably.

Other Conditions

If you're unsure whether your condition falls into any of the categories above, feel free to get in touch with your GP or referring doctor. Dr Elsabagh is always happy to provide guidance on whether a surgical assessment is appropriate.

If you’ve been referred or advised to seek a surgical opinion, you can find details on how to book an appointment below.

Your Next Steps