How to Get Rid of Hemorrhoids: Types, Causes and Treatments
How are hemorrhoids diagnosed?
The common symptoms of a hemorrhoid include itching, pain, rectal fullness or lump, and bleeding. The diagnosis is made by history taking and physical examination. The history may focus on the associated symptoms including constipation, hard bowel movements, and straining while going to the toilet. Other questions may be asked to look for other causes of rectal bleeding including tumors, inflammatory bowel disease, and gastrointestinal bleeding.Physical examination is performed to confirm the diagnosis and includes a rectal examination where a finger is used to feel for abnormal lumps or masses. Interestingly, internal hemorrhoids cannot usually be felt. The rectal exam may be deferred if there is intense pain or swelling. In addition, hemorrhoids and constipation may be associated with anal fissures or cracks in the skin surrounding the anus. The associated pain and spasm makes a rectal exam very uncomfortable.
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