expert type icon EXPERT

Rami Makhoul

Colon and Rectal Surgeon

Dr. Rami Makhoul is a colon and rectal surgeon practicing in Rockville, MD. Dr. Makhoul specializes in the diagnosis and treatment of diseases of the colon, rectum and anus. As a colon and rectal surgeon, Dr. Makhoul often treats conditions like rectal cancer, colon cancer, hemorrhoids, anal fissures and diverticulitis. Colon and rectal surgeons may be referred to you by your gastroenterologist if your doctor believes you need a surgical procedure.
19 years Experience
Rami Makhoul
  • Rockville, MD
  • University of Balamand
  • Accepting new patients

I have a feeling that I need to go to the bathroom, but it doesn’t happen. What is the reason?

It can be an indication of a problem. It’s important to get checked by a specialist.

When to stop having sex before a colonoscopy?

Sexual activity can be continued without problem.

Hemorrhoids and fistula?

The problem can be secondary to these hemorrhoids. You will need to be checked for that by a specialist.

Small object stuck in my anus?

You should be able to poop it out. If not, I would certainly seek medical help.

Why do I bleed when I poop?

There are many reasons for bleeding. It is important to have a specialist complete an anorectal examination.

I have colon polyps?

These are all benign findings. It is important to continue with colonoscopy surveillance

What might be wrong with me?

It’s important not to ignore this problem and seek consultation with a specialist. Getting a colonoscopy is extremely important if you have never had one.

Rectal prolapse?

Unfortunately there isn’t. The underlying condition that led to the prolapse should be addressed and the only way to fix a prolapse is surgically

Possible hemorrhoids?

It seems like it might be a hemorrhoid but having a check up with a specialist is necessary

What can be the impact of long term constipation?

Constipation can have many consequences on your GI system overall. Low fiber Diet is the most common reason for it. Some underlying conditions can cause constipation such as a READ MORE
Constipation can have many consequences on your GI system overall. Low fiber Diet is the most common reason for it. Some underlying conditions can cause constipation such as a malfunctioning thyroid gland. It’s important to get checked if changing diet doesn’t fix it.

Is surgery required to treat hemorrhoids permanently?

Not always. It depends on the degree of prolapse and the intensity/frequency of flares

Will I be given anesthesia for a colonoscopy?

Yes. Usually it’s fine under sedation.

Rectal prolapse?

Hello, you will need first to be checked by a colon and rectal surgeon for a full examination before deciding on intervention

What is a colectomy?

Colectomy means that a part of the large intestine needs to be resected

Can colon cancer be cured with a surgery?

Depending on the stage, there is a high chance for cure

I feel very constipated. Could there be any blockages in my colon system?

If you have never had a colonoscopy I would plan on scheduling one and then doing a constipation work up which can include sitzmark study

I underwent a colon surgery and now I am passing blood traces. Is it normal?

Depends on how much blood you’re passing but traces of blood can be normal after colon surgery

What is the best course of treatment for hemorrhoids?

Best thing is to avoid constipation, straining, or diarrhea. High fiber diet is highly recommended. Drinking 60-80 ounces of water.

I am a 27 year old man and am about 53 lbs overweight. I have noticed some blood in my stools. Could it be polyps or cancer?

Most common reason would be hemorrhoids, but an anorectal examination by a specialist is necessary. You may also need a colonoscopy.

Yellow discharge?

In this situation, anorectal examination by a specialist is necessary.