How to check internal hemorrhoids? What are the methods for checking internal hemorrhoids?

The diagnosis of internal hemorrhoids, no matter what kind of disease it is, is not simply determined by the patient's symptoms. The same is true for the treatment of internal hemorrhoids. In the diagnosis, we must first understand what examinations are needed to diagnose internal hemorrhoids?

1. Anal inspection

First, you should check whether there is blood, pus, feces, mucus, lumps, and external opening of fistula around the anus in order to determine the nature of the lesion. For example, whether there are internal hemorrhoids, prolapsed polyps around the anus, external hemorrhoids, external openings of fistulas, and eczema. The patient is then asked to struggle as if to have a bowel movement, and the doctor uses the index and middle fingers of both hands to gently and naturally spread the anus apart to evert the anus and observe whether there are any lesions, such as the location, number, size, color, bleeding spots, anal fissures, etc. of the internal hemorrhoids. The doctor may use a special glass anal suction device to suck out the internal hemorrhoids for examination. This visual examination is sometimes more accurate than anoscopy for diagnosing anal fissures and annular hemorrhoids.

2. Anal palpation

Feel the temperature of the skin around the anus and check whether its elasticity is normal. In case of pathological changes, such as anal carbuncle, you can feel swelling around the anus, burning skin, diffuse swelling, flatness, softness and hardness of the lump, whether there is responsiveness in the center, etc. For anal fistula, you can feel a cord-like nodule, and the length, size and depth of the external opening from the anus.

3. Rectal examination

The significance of rectal examination is that it is one of the simplest and most effective methods for examining anorectal diseases.

4. Anoscopy

The main method of examining internal hemorrhoids can clearly show the location, size and shape of internal hemorrhoids. It can also differentiate between lower rectal tumors and chronic colitis.