Piles (Hemorrhoids)- Diagnosis
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How piles are diagnosed?
After taking a proper history with some of the above described signs and symptoms the doctor would do a local examination of your anal and rectal region to look for piles or any other disease causing similar presentation.
• Visual inspection of anal region: your doctor would check for any lumps or swelling coming out of anus or present around the anus, presence of skin irritation or skin tags, leakage of mucus or stools or presence of fissures (skin tears) in anus.
• Digital examination: after this, your doctor would try to feel for any pathology present inside the anus and rectum by inserting a gloved, lubricated finger into your rectum. This allows him to check for any abnormal growth, tenderness or complicated internal piles.
• Procedures: as internal piles can be commonly be too soft to be felt on a rectal exam, your doctor might examine your rectum and anal canal using instruments. The instruments that can be used are anoscope, proctoscope or sigmoidoscope. Sometimes the doctor may diagnose an internal pile while examining your rectum and colon with colonoscopy and flexible sigmoidoscopy for some condition.
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