Physical Exam for Hemorrhoids

A careful physical exam, including a digital rectal exam, is needed to help diagnose hemorrhoids if you have rectal bleeding, itching, discomfort, or pain. Results of the exam can help your doctor know whether further testing is needed.

During the exam, you will lie on your side with your knees drawn to your chest. Some exam rooms have a table that holds you in a "head down, buttocks up" position.

Your doctor will:

Look to see if you have external hemorrhoids and large (third- or fourth-degree) internal hemorrhoids that bulge from the anus.
Insert a gloved, lubricated finger into your anus to feel for hemorrhoids or other abnormalities in the anal canal and rectum.

A digital rectal exam is often followed by inspection of the anal canal with a lighted instrument called an anoscope.

Credits

By	Healthwise Staff
Primary Medical Reviewer	Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer	Kenneth Bark, MD - Surgery, Colon and Rectal
Last Revised	March 16, 2012

By:

Healthwise Staff

Last Revised: March 16, 2012

Medical Review:

Anne C. Poinier, MD - Internal Medicine
Kenneth Bark, MD - Surgery, Colon and Rectal

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