Table of contents:
- Indications of Physical Examination on Hemorrhoids
- Physical Examination Warning on Hemorrhoids
- Preparations Before Physical Examination on Hemorrhoids
- Physical Examination Procedure on Hemorrhoids
- After Physical Examination on Hemorrhoids
- Complications of Physical Examination in Hemorrhoids
Physical examination of hemorrhoids is an examination that includes inspection and digital rectal examination. A digital rectal examination can be performed to detect internal hemorrhoids that are not visible from an inspection or rectal examination
Physical examination of hemorrhoids may be uncomfortable. However, this examination needs to be done as the first step to diagnose hemorrhoids. If necessary, the doctor will also perform an anoscopy examination to see the condition of the inside of the anus.
Indications of Physical Examination on Hemorrhoids
Physical examination of hemorrhoids aims to examine internal and external hemorrhoids. In addition, digital rectal examination can also be used to detect prostate conditions in men.
A digital rectal examination is needed to make a diagnosis in several complaints, such as:
- bloody chapter
- Bleeding from urethra
- stool incontinence and urinary incontinence
Physical Examination Warning on Hemorrhoids
To prevent any disturbances during the examination process, tell your doctor if you experience any of the following conditions:
- Allergy to painkillers (lidocaine) and medical gloves
- Autoimmune disease or prostate cancer
- Severe pain in the anus
- Hemorrhoids are bleeding
Preparations Before Physical Examination on Hemorrhoids
There is no special preparation for a physical examination of hemorrhoids. However, patients can ask a number of questions to the doctor to get complete information. Patients also do not need to fast or take certain drugs before undergoing a physical examination on hemorrhoids.
Physical Examination Procedure on Hemorrhoids
Physical examination on hemorrhoids only lasts for a few minutes and is painless. On the day of the examination, the patient will be asked to take off his pants and underwear. If necessary, the patient will be asked to wear special clothes from the hospital.
There are several series of physical examinations on hemorrhoids carried out by doctors, namely:
- Ask the patient to sleep on his side in a crouched or supine position with both legs bent on the bed
- Wear medical gloves and apply lubricating gel on the doctor's index finger
- Ask the patient to relax and take a deep breath before inserting the finger into the anus
- Examine the last part of the large intestine (rectum) for a few minutes
- Press on the lower abdomen if there is a disturbance in the patient's internal organs
In some cases, the doctor may perform an anoscopy, which is an examination using an anoscope to examine the inside of the rectum. Anoscope is a tool to examine the anus and rectum in the form of a short tube equipped with a light at the end.
After Physical Examination on Hemorrhoids
The doctor will discuss with the patient the results of the examination. The doctor will also recommend several treatment options according to the patient's condition.
After the examination, the patient can return to their normal activities. However, patients are advised to immediately consult a doctor if they experience bleeding in the rectum that is difficult to stop or very profuse after undergoing the procedure.
Complications of Physical Examination in Hemorrhoids
Physical examination of hemorrhoids is safe to do, but this procedure can cause complications such as:
- Bacterial infection in the blood (bacteremia)
- Pain around the examination area
- Tears in the skin around the anus
- Tears in hemorrhoids