If someone has hemorrhoids , usually, a doctor will perform a physical examination to determine this. For example, if you are patient and you have pain in your anal area, you may undergo this, although you may also certainly dread doing so. If you are having particular difficulties, you may need several rectal examinations, and you may need to need to get anoscopies; this can be particularly difficult if the examiner is not particularly experienced. However, it’s important to allay your fears with your doctor before you undergo this examination so that the examination itself can produce the information needed.

First, as the patient, you’re going to be in the Sims or left lateral decubitus position, because this is going to make things easier. It’s also less embarrassing than prone jackknife or lithotomy positions. You’ll need to be in this position such that the doctor can get a clear view of your anus for examination.

In this examination, the patient is going to be more on the stomach than the back, and should be positioned left side down, but slightly off the edge of the examining table, shoulder on the right roll forward, left shoulder back. Both knees should be bent up toward the chest and the feet directed away from the anus or anal area.

Generally, this kind of position will ensure good exposure of the anal area to be examined with least discomfort to the patient. When starting to examine, the buttocks should be tenderly spread, include the external perineal area for any eczematous lesions, rashes or any abnormal findings. The external sphincter must be asked to be contracted to assess if there are deviations from normal function.

After this, you’re going to be asked to bear down like you were having a bowel movement, and as you do this, the examiner will gently insert a lubricated figure into the anus, also called a digital examination. This should only take a couple of minutes, and typically will not hurt, although it will be uncomfortable.

And anoscopy will be performed after the digital examination is finished. This is to officially confirm that you do have hemorrhoids as the patient by using an anoscope, which is a hollow to with a light at one end, subsequently attached to a viewing machine. The anoscope that does a side view is preferred to one that does only an end view because side view anoscopes look at the anal canal and the rectum, not just the rectum.

Upon insertion, the viewing anoscope should be positioned with the open portion in the right anterior followed by the right posterior and lastly the left lateral position to observe for hemorrhoidal bundles. As the rectal surgeon examines, a pathologist will also observe for signs of dilated vascular spaces that may inhibit thrombosis and recanalization.

At times, a surgeon will require other procedures such as sigmoidoscopy and colonoscopy for a more detailed examination. To find out if there is any hemorrhoidal prolapsed, the patient should be requested to strain after the procedure is done. Most frequently, anal outlet bleeding is related to hemorrhoids but may surely be an indication of colorectal cancer thus it is also observed carefully. A patient with rectal bleeding must undergo further examination to clear for any other possible diseases.

If you suffer from hemorrhoids and would like to learn a great hemorrhoid treatment just follow this link.