Hemorrhoids physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]
Overview
Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain. Physical examination of patients with hemorrhoids is usually remarkable for scratch marks at the anal verge, prolapsed external hemorrhoids, and tenderness on digital rectal examination.
Physical Examination
General appearance
Patients with acute prolapsed or thrombosed hemorrhoids usually appear ill and in pain.[1]
Vital signs
Unless the hemorrhoids are infected, vital signs are usually within normal limits.
Skin examination
- Inspection of the anal verge may show scratch marks and skin tags.
- Inspection also may reveal external hemorrhoids or prolapsed internal hemorrhoids.
Digital rectal examination
- Digital rectal examination reveals the size and location of hemorrhoids.
- Thrombosed hemorrhoids are tender to palpation.
- Internal hemorrhoids are not palpable by digital rectal examination and the use of anoscope is mandatory.
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References
- ↑ Guttenplan M (2017). "The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist". Curr Gastroenterol Rep. 19 (7): 30. doi:10.1007/s11894-017-0574-9. PMID 28567655.