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Proctologists in Riga

At FORTEMED medical centre, a team of experienced proctologists works — experts in their field whose main goal is to resolve each patient’s issue as promptly, accurately and sensitively as possible. Particular attention is paid to keeping the period of discomfort as short as possible and making treatment as gentle as possible. Many proctological problems can be addressed during the consultation itself or with conservative and medication-based treatment, avoiding more radical procedures when they are not necessary. Our goal is to help patients regain comfort and their usual quality of life as quickly as possible.
Proctologist
Anatomical illustration of the colon and rectum

Who is a proctologist?

A proctologist is a doctor who helps patients diagnose and treat diseases of the colon and rectum, anal canal and anus. Patients see a proctologist for both acute and persistent symptoms. In treatment, a proctologist uses both conservative methods and, after carefully assessing the need, surgical treatment methods.

A proctologist can help patients with various diseases:

  • Haemorrhoids: Enlarged blood vessels in the anal canal that may cause pain, itching and bleeding.
  • Fistulas and perirectal abscesses: Inflammatory processes that may cause pain, swelling and discharge around the anus.
  • Rectal polyps: Growths of the rectal lining that require diagnostic evaluation and, if necessary, treatment.
  • Anal fissures: Painful cracks in the lining of the anal canal, especially pronounced during bowel movements.
  • Rectal bleeding: Bleeding from the anal canal or rectum, the cause of which must always be investigated.
  • Colorectal cancer: A malignant tumour of the colon or rectum; early diagnosis significantly improves treatment outcomes.

These are some of the conditions that a proctologist treats. If you suspect you may have any of these conditions or other proctological problems, it is important to consult a qualified specialist.

A consultation with a proctologist is recommended if you notice:

  • Blood in the stool or traces of blood on toilet paper;
  • Prolonged abdominal pain that is not related to physical exercise or diet;
  • Itching, discomfort, pain or irritation in the anal area;
  • Changes in stool consistency and shape, such as very thin stools (like a pencil) or very hard stools;
  • Mucus visible in the stool;
  • A sudden urge to defecate, which may be accompanied by an inability to reach the toilet in time (faecal urgency);
  • Constipation or diarrhoea lasting more than a week;
  • A persistent feeling that the bowels have not been completely emptied after a bowel movement;
  • Painful bowel movements;
  • Irregular bowel movements, alternating between constipation and diarrhoea;
  • Weight loss for no apparent reason;
  • Increased weakness and fatigue not related to physical exertion;
  • Sudden changes in stool frequency or consistency.

FORTEMED proctologists

The main asset of any medical institution is its professional medical team. It is vital for every patient to know that they are receiving the highly qualified care and expertise necessary to restore and maintain their health. The FORTEMED clinic, with its outstanding team of proctologists, provides that confidence and security.
Sergejs Šapovalovs
Sergejs Šapovalovs
surgeon, proctologist
A highly qualified surgeon and proctologist provides consultation, treatment and post-operative care to patients with surgical and proctological diseases, helping to choose the most appropriate treatment strategy. Chief physician of emergency surgery at the Paula Stradiņa Clinical University Hospital.
Inese Fišere, Dr.med.
Inese Fišere, Dr.med.
surgeon, proctologist
An experienced specialist who performs outpatient examinations and manipulations in cases of rectal diseases, advises on abdominal wall hernias and diseases of the abdominal cavity, provides pre-operative preparation and post-operative control, taking care of the patient's health.

Book an appointment

Choose the option that works best for you: book online or call us. We will help you find a suitable time and answer your questions.

Frequently asked questions

Do I need any special preparation before seeing a proctologist?
No, special preparation is usually not necessary. Before your visit, normal hygiene and a natural bowel movement are sufficient. Special procedures or enemas at home are not needed unless the doctor has prescribed them specifically.

At the first appointment, the doctor will first listen to your concerns, discuss your symptoms and medicines, and if necessary perform a gentle examination. If a specific procedure is planned for the future, we will inform you in good time how to prepare for it.
How painful are a proctological examination and procedures?
It is entirely understandable to feel anxious before such an appointment, but a proctological examination is usually not painful. In most cases, it causes only brief discomfort or a slight feeling of pressure and lasts just a few minutes. The doctor always proceeds very gently, using lubricant. Greater sensitivity can occur in cases of acute inflammation, but even then the specialist chooses the gentlest possible approach.

Proctological procedures are also carried out with the patient’s comfort in mind. When necessary, local anaesthesia or other pain-relief methods can be used to make the procedure as comfortable as possible. It is important not to be afraid to tell the doctor about any concerns or pain — this helps them choose the most appropriate method of examination and pain relief.
Do proctological problems always need to be treated with surgery?
No, proctological problems do not always require surgical intervention. Most situations can be successfully managed with gentle methods — medicines, adjustments to diet and lifestyle, or modern minimally invasive procedures. The doctor selects the most appropriate treatment individually, taking into account the diagnosis, stage of the condition and how you feel.

Surgery is considered only when conservative methods have not produced the desired result or the condition is at a later stage. This is why it is so important not to postpone a visit: a timely consultation makes it possible to identify the problem early and choose the gentlest and simplest route to recovery.
When should I not postpone a visit to a proctologist?
You should not postpone a visit to a proctologist if you notice symptoms that may indicate an acute problem or more serious health changes. The most common warning signs are blood in the stool or rectal bleeding, sudden or persistent pain, marked discomfort and itching, as well as noticeable swelling, growths or lumps in the anal area. Persistent bowel problems, such as chronic constipation or unexplained diarrhoea, are also important reasons to arrange a visit.

If you notice these signs, seeing a specialist promptly is important: it not only helps relieve unpleasant symptoms sooner, but also makes it possible to diagnose the condition in time and start the gentlest possible treatment. A preventive check-up is also recommended for everyone after the age of 45–50, even if there are no pronounced symptoms.
Can I see a proctologist for preventive care?
Yes, you can and should see a proctologist for preventive care, even if nothing currently hurts or causes discomfort. Regular check-ups make it possible to detect small changes in tissues or the intestinal lining — for example, polyps — before they cause symptoms, and to prevent more serious conditions from developing at an early stage, when treatment is simplest.

A preventive visit is especially recommended for everyone aged 45–50 and over, as well as for people with a family history of bowel or proctological conditions. A check-up is also worthwhile for people whose daily routine involves sedentary desk work or heavy physical exertion. Timely screening provides reassurance and confidence about your health.

Prices for proctology and surgery

PROCTOLOGY AND SURGERY

Initial consultation with a surgeon
€50,00
Follow-up consultation with a surgeon
€45,00
Initial consultation with a proctologist
€50,00
Follow-up consultation with a proctologist
€45,00
Anoscopy
€25,00
Rectoscopy
€35,00