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 [finding 1], [finding 2], and [finding 3].
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 itching 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.
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.