Doctor insights on:
Enema Rectal Exam
No.: A digital rectal exam does not require an enema. Stool is not normally contained in the rectum, but rather higher up in the upper rectum/sigmoid. If stool is low in the rectum, usually there will be signals to have a bowel movement, which should be done prior to a digital rectal exam. ...Read more
A rectal exam is where a practitioner examines the last part of the colon (or rectum) by placing a finger or small plastic scope through the anus. This is important to detect issues such as prostate problems, continence disturbances, rectal cancers, and more. While often uncomfortable for patients it is very short and gives a lot of ...Read more
No.: Rectal exam as part of a physical exam, i.e. Insertion of a gloved, lubricated finger into the rectum, does not need an enema. Anoscopy (insertion of a short tube into the anus to view the area generally does not unless surgical work is planned. Examination with a sigmoidoscope (rigid or flexible) does need enemas. ...Read more
May depend on doctor: A good position for a rectal exam is a one where the anus is accessible to the doctor's finger, and the doctor feels he is able to get a really good exam: lying on the side, bent over the examination table, or lying down with feet in stirrup (lithotomy position), etc... The position is not that important. What's important is that the dr. Is able to reach and feel everything he wants to examine. ...Read more
May be...: To a great degree, finding something significant is quite examiner subjective, reflecting individual acuity and keenness as well as the existing features such as the size & consistency of a tumor; so is digital rectal exam (DRE) to feel the presence of internal hemorrhoids. Besides, all life events always display on their pattern of full spectrum; at their very early stage, it is hard to perceive, ...Read more
How is a rectal exam performed? How is a patient positioned for the exam? Is an erection normal after a rectal exam?
First rectal exam?: Examining practitioner will ask you to pull down your pants, either bend forward or lay on your side, & with a gloved finger will gently insert it into your rectum. The exam takes brief seconds, but permits assessment of rectal tenderness, masses, bleeding from the gut, rectal/anal tone, visual anal inspection, & your prostate. Rarely, expression of prostate fluid or erection may occur. Be well-- ...Read more
Can you feel the linea dentata during a rectal exam? I feel something asymmetrical and hard like cartilage in the opposite direction of the prostate.
Do not do it: Doing a rectal examination on yourself is not advised. You do not feel the dentate line. What you felt opposite to the prostate is likely to be the lower end of the tailbone. If you have a health issue, see a doctor. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Drink enough water daily so that your urine is mostly colorless. Practice safe sex. ...Read more
Routine exam: Includes a rectal. Two positions: lying on side, bending over. With women it can be done as part of pelvic lying on back using fingers in vagina and rectum. A glove & lubricant are always used. The exam in men chcecks prostate as ewll as rectum, in women recto-vaginal septum. Stool on the glove is used to detect occult blood. A good exam should be thorough but not painful. ...Read more
Rectal Exam: A rectal exam is where a practitioner examines the last part of the colon (or rectum) by placing a finger or small plastic scope through the anus. This is important to detect issues such as prostate problems, continence disturbances, rectal cancers, and more. While often uncomfortable for patients it is very short and gives a lot of information to your provider. ...Read more
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