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Doctor insights on: Are Internal Hemorrhoids Always Diagnosed With An Anascope Exam Or Can They Be Missed

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Are internal hemorrhoids always diagnosed with an anascope exam or can they be missed?

Are internal hemorrhoids always diagnosed with an anascope exam or can they be missed?

Hemorrhoids: Depending on the severity of the hemorrhoids, there is always the chance that they can be missed. Usually though, they will be found if they are there. Internal hemorrhoids are painless, so therefore less noticeable to the patient. A good way to prevent them is to have a diet with adequate fiber and fluids to prevent straining when going to the bathroom. ...Read more

Dr. Eric Kaplan
1,229 Doctors shared insights

Hemorrhoids (Definition)

Swollen and inflamed veins in the rectum and anus that ...Read more


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Where are internal hemorrhoids located? Would they be able to feel them in a rectal exam?

Where are internal hemorrhoids located? Would they be able to feel them in a rectal exam?

Yes: If properly performed by experienced examiner should be able to feel. Also an amps copy can be done in office to visualize the as well. ...Read more

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Would a colonrectal surgeon be able to tell if my prostate was enlarged when she completed a digital rectal exam and/or andoscopy while searching for internal hemorrhoids?

Would a colonrectal surgeon be able to tell if my prostate was enlarged when she completed a digital rectal exam and/or andoscopy while searching for internal hemorrhoids?

Yes.: While they may not routinely focus on the prostate portion of the exam, it would be something they could feel with the digital exam. Prostate size is not sufficiently visualized with anoscopy. There are folds of colon tissue that move out of the way with the finger test but sometimes obscure the anoscopy visualization. Since they don't focus on the prostate, though, they may not wish to comment ...Read more

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Is it normal to have major bloating a day after a rectal exam w/ lower back pain? Impacted w/ blood in stool, external/internal hemorrhoids, loose stool

Is it normal to have major bloating a day after a rectal exam w/ lower back pain? Impacted w/ blood in stool, external/internal hemorrhoids, loose stool

Depends: I would need to know more about your hx, and what exactly was done during the rectal exam. If you had invasive type of procedure--lower GI series where a barium enema is introduced into anus--or a flexible sigmoidoscopy/colonoscopy--then cramping or bloating are to be expected for 4-24 hrs. If you are having further difficulties, consult with dr who ordered, or performed tests. Good luck. ...Read more

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I was recently diagnosed with internal hemorrhoids. What can I do when I have bleeding. Can I do something to prevent bleeding?

I was recently diagnosed with internal hemorrhoids. What can I do when I have bleeding. Can I do something to prevent bleeding?

Use stool softener.: Both as treatment and prevention. Eat more fiber, drink more water and exercise more. Hemorrhoids are basically veins that have been injured by our bad habits. Don't let your stools become very hard, the job of the colon is to recover the fluid in the stool;if we do not drink enough water, or eat only highly processed food (no fiber) and don't exercise (the helper to bowel transit) we can expect problems. ...Read more

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I've been being treated by a colon rectal surgeon for internal hemorrhoids, would they be able to tell if I had proctitis and diagnose it by examining you?

I've been being treated by a colon rectal surgeon for internal hemorrhoids, would they be able to tell if I had proctitis and diagnose it by examining you?

Two different issues: Proctitis is by definition an inflammatory condition of the rectum. This is a very different scenario than hemorrhoids. Is there some question as to your diagnosis? ...Read more

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This past summer if I miss a meal I get painful intestinal spasms the next day sometimes. Could it be from anal fissure? Hemorrhoids? Rectal STD?

This past summer if I miss a meal I get painful intestinal spasms the next day sometimes. Could it be from anal fissure? Hemorrhoids? Rectal STD?

Unlikely: You may have a acid or digestive problem. Consider reflux, gluten allergy or dairy intolerance. If your weight is normal this is not likely serious. It is it likely due to anything I your rectum. If you are having anal sex you need to be checked for std. Especially if this is unprotected sex. ...Read more

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Likelyhood anal cancer would be missed in 34yr male after normal colonoscopy 1yr ago? (not even hemorrhoids seen at time of test) have them now tho.

Not big problem.: Although hemorrhoids are an issue that can lead to anal cancer, they need to be very severe and longstanding and associated with a mass. Someone your age with a clear colonoscopy is still likely in the very low risk category for this cancer unless there is family history. ...Read more

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I have grade II internal hemorrhoids, what should I do?

I have grade II internal hemorrhoids, what should I do?

Office treatment: If your internal hemorrhoids prolapse out through your anus to the point that you notice it, that is not likely to go away on its own (the horse is out of the barn), and it may eventually get to the point that you have to manually push them back in. Most grade 2 internal hemorrhoid prolapse is easily treated with safe and often painless office procedures like rubber band ligation. ...Read more

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What should I do about my grade II internal hemorrhoids?

What should I do about my grade II internal hemorrhoids?

Regulate bowel: Keep bowel movements soft and frequent, avoid straining, take extras fiber diet all can help in avoiding worsening of hemorrhoid and possible surgical intervention. ...Read more

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I have internal hemorrhoids. I'm a male. Will regular vaginal intercouse affect them at all?

I have internal hemorrhoids. I'm a male. Will regular vaginal intercouse affect them at all?

No: Straining to have bowel movements, lifting, or chronic deep coughing can make the hemorrhoids worse but vaginal intercourse with a woman should have no effect on a man's hemorrhoids. ...Read more

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I am suffering from internal hemorrhoids since 7 years. But nowadays its bleeding too much. Help.

I am suffering from internal hemorrhoids since 7 years. But nowadays its bleeding too much. Help.

Banding: True internal hemorrhoids can be treated in the office by rubber band ligation. In the office, a rubber band is placed on the base of the hemorrhoid. The hemorrhoid will fall off in about a week. ...Read more

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I have bleeding from apparent internal hemorrhoids. At what point should this become worrisome? Or does it ever? Any advice?

I have bleeding from apparent internal hemorrhoids. At what point should this become worrisome? Or does it ever? Any advice?

Check it out: You always want to check it out to make sure the diagnosis is correct. Ben at age 40, I would strongly consider having a colonoscopy. May also want to get a consultation with a colorectal surgeon for more info about hemorrhoid treatment. Ita not always surgical. Hope this helps! ...Read more

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I have had several internal hemorrhoids removed and now I have to wipe excessively to get clean. Sometimes an hour or two later, I wipe again but very little. No blood, no pain no urge to go.

Pasty gooey: Hard to clean stool is usually due to a lack of fluids usually about 40 ounces short for the day. Stay away from caffeine and alcohol and increase your fluids. This should help in 3-4 days. You may also have had damage to your sphincter muscles from the surgery. This too needs to be evaluated. ...Read more

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What should I do if I have internal hemorrhoids?

Seek consultation: Internal hemmorhoids can be treated with a variety of in office procedures. You should seek a consultation with a general surgeon or colorectal surgeon who treat this condition. You can ask your friends or call the hospital referring hotline for the name of a well trained surgeon. ...Read more

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Is there any way to be so sure if I have internal hemorrhoids?

Texture/Doctor Exam: Most hemorrhoids (varicose veins of the anus) are soft, squishy tissue that distend after straining or having a bm, and may bleed. If a hemorrhoid becomes firm, enlarged, and tender, it may have thrombosed (clotted). This is treated w/ pain medication and time. Anal lump present all the time requires medical attention to assure that it isn't something else. See fp, gi, or surgeon! Good luck! ...Read more

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Is there any methods to cure "internal hemorrhoids" beside eating more fibre. I have it for like 5 months now.

Is there any methods to cure "internal hemorrhoids" beside eating more fibre. I have it for like 5 months now.

Not really: If you are not having bothersome bleeding or pain, there is nothing to worry about. You want to avoid constipation and hard stools which will cause you to strain when you have a bowel movement. Fiber, fluid, exercise. ...Read more

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What to do if I have small internal hemorrhoids and I really want to get ridconstipation, will that make the hemorrhoids shrink?

What to do if I have small internal hemorrhoids and I really want to get ridconstipation, will that make the hemorrhoids shrink?

Yes: If hemorrhoid a are small, treat the constipation. Increase your fluid intake. Reduce cheese and dairy. Increase fibre, fresh fruits, and fresh vegetables. ...Read more

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Should I try rutin for bleeding internal hemorrhoids?

Waste time/money: As with most naturalistic / holistic remedies claims ...Read more

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I had surgery of internal hemorrhoids a month ago. Can I take alcohol now?

I had surgery of internal hemorrhoids a month ago. Can I take alcohol now?

In Moderation: After one month, one would expect that any surgical wounds would have significantly healed. Drinking alcohol should not be a problem at this point. One should always check with their healthcare provider, in this case with the surgeon, for his or her permission to resume prior activities such as the use of alcohol. Good luck. ...Read more

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What can I do for internal hemorrhoids? They hurt, itch and burn.... I can't take it anymore

What can I do for internal hemorrhoids? They hurt, itch and burn.... I can't take it anymore

Internal: Hemorrhoids do not itch burn or hurt. You may have a fissure or pruritus ani. Stop all caffeine, drink 80-100 oz fluids daily, warm tub soaks. If no improvement see your PCP for exam and/or referral to a colon and rectal surgeon ...Read more

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I am being treated for grade 2 internal hemorrhoids, can they cause urinary or prostate type pain?

I am being treated for grade 2 internal hemorrhoids, can they cause urinary or prostate type pain?

No it does not: Hemorroids causes painless bleeding from the rectum and usually associated with defecation. It can cause a heaviness in that area and itching on occasion but will not cause severe pain unless the hemorroid is Stage 3 (which means its bleeding, prolapsed and edematous and swollen and so cannot return back into the rectum. This is treated with surgery thanks ...Read more

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It seems like I have internal hemorrhoids after giving birth. Is there any home remedies? Do they go away by themselves?

We are born with the: Hemorrhoids are normal part of our anatomy. They are made of mostly blood vessels but include soft tissue with an external and internal components. A "flare up" is when they engorge with blood usually caused by any pressure on pelvis to include pregnancy. So yes you can treat them with topical preparation to decrease swelling but they can't go away. ...Read more

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I heard internal hemorrhoids are painless and I have them and mine definately are not painless. How do I treat them if they were caused by diarrhea?

Rectal suppository: You can try a rectal suppository like preparation H which can be picked up over the counter at a local pharmacy, this contains hydrocortisone cream which will decrease the size and swelling of the hemorrhoids, it is also possible these hemorrhoids are X ternal which may be causing pain. Lastly you may want to see your doctor as they can refer you to a colorectal surgeon to have the hemorrhoids remlastly you may want to see your doctor as they can refer you to a colorectal surgeon to have the hemorrhoids removed ...Read more

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I have internal hemorrhoids but it appears one is becoming "external". What is treatment? I can actually push it back in but it doesn't want to stay

Hemorrhoids: Hemorrhoids are normal veins that can become enlarged, uncomfortable, or bleed with constipation. See a General Surgeon who performs hemorrhoid treatment procedures or a Colon-rectal Surgery specialist to see what you have & what your treatment options are. ...Read more

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I keep reading about internal hemorrhoids not hurting (even on here said the same).Docs checked me and said mine are all internal. No fissure. Why hurt?

I keep reading about internal hemorrhoids not hurting (even on here said the same).Docs checked me and said mine are all internal. No fissure. Why hurt?

Who examined you: We are born with hemorrhoid tissue and there is an external and internal component to all 3. There are no pain nerve fibers above the anus where the internal hemorrhoids are found so they really cannot hurt. Yes anal fissure is one of they most common causes of anal pain but not the only cause. Complete examination of this area is difficult and should be done by a specialist. ...Read more

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How do I give myself an enema if I have internal hemorrhoids? Is that safe orshould I do something else? I tried usingit, but it wouldn't fit in. Thanku

How do I give myself an enema if I have internal hemorrhoids? Is that safe orshould I do something else? I tried usingit, but it wouldn't fit in. Thanku

Not safe...: If you cannot comfortably fit the tubing into the rectum, do not force it--especially in the setting of known internal hemorrhoids. Hemorrhoids are dilated blood vessels caused by increased pressures due to rectal straining--it may not be a good idea to give yourself enemas in this setting as the straining caused by rapid discharge of fluids may cause worsening of your hemorrhoids. ...Read more

Anal Swelling (Definition)

Accumulation of fluid at the opening at the end ...Read more