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| What is Physical Examination of Hemorrhoids |
Physical examination of hemorrhoids is an examination that includes inspection and digital rectal examination. A digital rectal examination may be performed to detect internal hemorrhoids that are not visible from an inspection or rectal examination.
Physical examination of the hemorrhoids may be uncomfortable. However, this examination needs to be done as the first step to diagnose hemorrhoids. If needed, the doctor will also perform an anoscopy examination to see the condition of the inside of the anus.
Indications of Physical Examination in 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.
Digital rectal examination is needed to establish a diagnosis in several complaints, such as:
- Constipation
- bloody CHAPTER
- Bleeding from the urethra
- Fecal incontinence and urinary incontinence
Physical Examination Warning on Hemorrhoids
To prevent interruptions during the examination process, tell your doctor if you experience any of the following conditions:
- Allergy to painkillers (lidocaine) and medical glove material
- Autoimmune disease or prostate cancer
- Severe pain in the anus
- Hemorrhoids are bleeding
Preparation Before Physical Examination on Hemorrhoids
There is no special preparation for a physical examination of hemorrhoids. However, the patient can ask a number of questions to the doctor to get complete information. Patients also do not need to fast or take certain medications before undergoing a physical examination of hemorrhoids.
Physical Examination Procedure on Hemorrhoids
Physical examination of the hemorrhoids lasts only 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 clothing 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
- Wearing medical gloves and applying 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
- Perform an examination of the end of the large intestine (rectum) for a few minutes
- Pressing the lower abdomen if there is a disturbance in the patient's internal organs
In some cases, the doctor may perform 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 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
- Tear in the skin around the anus
- Tear in hemorrhoids
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