Anal Exam

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Position and drape the patient for warmth as well as privacy. Apply warm lubricant to your index finger. Even room-temperature gel can feel cool and cause the anal canal to contract, which makes the digital exam more challenging.

The goal is to have the anal tissue as relaxed as possible, so inserting a finger doesn't become uncomfortable or painful.

Sometimes a rectal examination is carried out using a local anesthetic in order to numb the anal area and reduce discomfort. This is particularly true if the examiner has large fingers and the examinee has an especially tight anal sphincter.

Alternatively, most gels and lubricants can be warmed in a microwave for seconds. All rights reserved. This image may not be used by other entities without the express written consent of wikiHow, Inc.

Insert your finger into the anal canal gently. Right before inserting your finger, quickly assess the anus for any abnormalities, such as hemorrhoids swollen blood vessels , warts, rashes or fissures tissue tears.

Feel for any abnormalities. Once inside the rectum, use your index finger to feel for any abnormalities, such as unusual bumps, hard spots, soft spots or fissures.

You can also palpate the prostate gland in males through the wall of the rectum. Feel anteriorly towards the front for the prostate, which has two lobes with a cleft between them.

A healthy prostate gland is smooth to the touch and not painful upon probing. Remove your finger and clean the area when finished.

Then clean off any lubricant around the anus and remove and dispose of your gloves, and wash your hands. Allow the patient to wipe themselves off in privacy with some soft tissue paper and let them know they can get dressed.

To remove your soiled glove, take your index finger of your other hand which should be clean , place it under the cuff of the soiled glove, then pull down towards your fingers and peel it off.

The exam itself shouldn't cause bleeding, so if you see blood on your glove that could be a signs of hemorrhoids or another internal problems.

After the procedure, check to see how the patient is feeling, especially if he was nervous before the procedure began. Also, keep in mind that going from a laying to standing position can make some people feel faint, so encourage the patient to do this slowly and observe them for a few minutes.

Part 2 of Get an anorectal exam if you have blood in your stool. If you notice blood in the toilet when you defecate poop or while you're wiping yourself afterwards, then schedule an appointment with your doctor.

Appendectomy Colectomy Colonic polypectomy Colostomy Hartmann's operation. Abdominoperineal resection Lower anterior resection Total mesorectal excision.

Anal sphincterotomy Anorectal manometry Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization.

Endoscopy : Colonoscopy Anoscopy Capsule endoscopy Enteroscopy Proctoscopy Sigmoidoscopy Abdominal ultrasonography Defecography Double-contrast barium enema Endoanal ultrasound Enteroclysis Lower gastrointestinal series Small-bowel follow-through Transrectal ultrasonography Virtual colonoscopy.

Fecal fat test Fecal pH test Stool guaiac test. Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure.

Cholecystectomy Cholecystostomy ERCP Hepatoportoenterostomy Medical imaging : Cholangiography IV MRCP PTC Cholecystography Cholescintigraphy.

Frey's procedure Pancreas transplantation Pancreatectomy Pancreaticoduodenectomy Puestow procedure. Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.

Hernia repair Inguinal hernia surgery Femoral hernia repair. MELD PELD UKELD Child—Pugh score Ranson criteria Milan criteria. Categories : Diagnostic gastroenterology Physical examination Rectum.

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