Many people talk about anorectal diseases, they will be very secretive, after all, this is a private part. Most people can't stand the torment of blood in the stool, pain, itching, bulging and other symptoms, and finally have the idea of seeking medical attention, but then they worry about whether it will be complicated to check this part. Will it hurt? Is it uncomfortable? ...
In fact, the anorectal outpatient examination is not complicated. It can be summarized as: one look (inspection), two touch (finger examination), and three look (anoscopy).
The total sharing time is about 2 minutes.
Commonly used in outpatient examination-lateral position
●This position is suitable for the examination of most anorectal diseases, which is convenient and simple.
Inspection-observe whether there is any disease around the anus
Under normal circumstances, after a patient describes the condition to the doctor, the first examination is an inspection. Simply put, it is to look at whether there are any growths around the anus from the appearance, whether there are abnormal attachments (such as blood, pus, mucus, etc.), whether the skin color has changed, whether there are cracks, etc. Did the swelling come out when you struggled hard?
Hemorrhoids, perianal abscess, anal fissure, perianal eczema, anal fistula, rectal prolapse and other diseases will all appear in appearance, so they can be preliminarily judged by inspection.
Finger examination-touch whether there is any disease in the anus
Digital anus examination is one of the simplest and most effective methods in the examination of anorectal diseases.
1. Understand the function of anal sphincter. Determine whether there is anal stenosis or incontinence, and whether the muscle movement is coordinated.
2. Discovery of anorectal diseases. Hemorrhoids, anal fissures, internal rectal prolapse, rectal protrusion, rectal polyps, anal papilloma and anal papillary hypertrophy, perianal abscess, anal fistula, and some diseases of the rectum can be found in time. Diseases ranging from polyps and hemorrhoids to colorectal cancer can be found through digital rectal examination.
3. Other diseases of pelvic organs. Through digital rectal examination, the prostate of a male examiner can be touched to help find prostate hypertrophy or prostate cancer; the uterus of a female examiner can be touched to find out whether there is a retroverted uterus, cervical tumor, appendage tumor or inflammation, etc.
According to statistics, about 80% of anorectal cancer can be found during digital anorectal examination, and about 85% of patients who are clinically misdiagnosed for anorectal cancer are often not done serious anorectal examination.
Anoscopy-pry into specific lesions
Anoscopy is also a simple inspection. First, all enter the anus, then slowly exit, observe, and record the specific lesions according to the clock. It took less than a minute.
Anoscopy is an effective supplement to digital diagnosis.
First observe whether the rectal mucosa has congestion, edema, ulcers, masses, etc., and after other rectal diseases are ruled out, observe whether there are hemorrhoids on the dental line (because internal hemorrhoids are soft
, Generally can not be touched by finger examination), if any, pay attention to its number, size and location.
The above are three simple examinations commonly used in anorectal department. Most diseases can be diagnosed through the above examinations. Of course, if necessary, enteroscopy, anorectal ultrasound, imaging, etc. can also be performed, depending on the condition.
We hope that through our explanation, you can dispel your worries about anorectal disease examination, make a timely diagnosis of anorectal discomfort, and perform early examination and treatment.