Best Hemorrhoid Treatment

by Richard Hill

You probably can’t tell yourself whether or not you have hemorrhoids, but you can go to the doctor and be examined to see if you do. Doctors or surgeons specializing in the rectum or colon can certainly find out whether or not you have hemorrhoids, as can most family practitioners. If you have complaints that you may have hemorrhoids, though, it’s a procedure you’re probably going to dread. You may undergo several rectal examinations and anoscopies, which can be extremely unpleasant especially if the person examining you is not experienced in doing so. Therefore, if you’re going to undergo such an examination, make sure you talk with your doctor and have your fears addressed before you undergo such an examination in order to get results from it.

For the examination, you’re going to lie in the left lateral Sims or decubitus position. This is more comfortable, and is usually less humiliating and easier to hold than the lithotomy or prone jackknife positions. It’s important to know that you are going to need to lie such that the examiner is going to get a good view of the anal area.

So that the examination itself is as easy as possible, you’re probably going to be placed lying on your belly more than on your back, positioned with your buttocks a little bit off the edge of the examining table, left side down, right shoulder rolled forward and left shoulder back. Your knees are going to be bent up towards your chest and your feet clear of the anal area.

This ensures that the anal area is going to be exposed enough to be examined without as much discomfort for the person being examined. The examiner will gently spread the buttocks apart and include the external perineal area for any eczematous lesions, abnormal findings or rashes. Usually, the examiner will ask the patient to contract the external sphincter to make sure there are no abnormalities in function.

After this is complete, you’ll generally be asked to push or bear down as though you were going to have a bowel movement; simultaneously, the examiner will insert a lubricated finger gently into the anus for what is called the digital examination. This examination should only take a minute or two, and is typically not painful, just uncomfortable.

And anoscopy will be performed after the digital examination is finished. This is to officially confirm that you do have hemorrhoids as the patient by using an anoscope, which is a hollow to with a light at one end, subsequently attached to a viewing machine. The anoscope that does a side view is preferred to one that does only an end view because side view anoscopes look at the anal canal and the rectum, not just the rectum.

Upon insertion, the viewing anoscope should be positioned with the open portion in the right anterior followed by the right posterior and lastly the left lateral position to observe for hemorrhoidal bundles. As the rectal surgeon examines, a pathologist will also observe for signs of dilated vascular spaces that may inhibit thrombosis and recanalization.

In some cases, other tests are also required, such as a colonoscopy or sigmoidoscopy, if more detail is needed. To find out if any hemorrhoidal prolapses have occurred, patients are you also usually required to push or strain slightly after the examination; f any anal bleeding occurs, it’s usually due to hemorrhoids, but may also be indicative of colorectal cancer. This is why it’s very important to check this. If rectal bleeding does exist, further examination is necessary to make sure other diseases beside hemorrhoids are not also present.

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