Hemorrhoid Diagnosis

• Clinical examination+−

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  Inspection and digital exam are foundational. Thrombosed external piles, fissure, or abscess can be distinguished in the same visit.

• Anoscopy+−

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  A short lighted scope views the anal canal. It grades internal hemorrhoids and plans office procedures accurately.

• When colonoscopy is needed+−

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  Older age, family history, weight loss, anemia, change in bowel habit, or suspicious bleeding patterns require excluding colorectal cancer or colitis.

  • Age / risk factors that warrant screening
  • Unexplained anemia
  • Change in bowel habits
  • Family history of colorectal cancer
• Internal hemorrhoid grades+−

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  Grade I: enlarged, no prolapse (often bleeding). Grade II: prolapses with stooling, reduces spontaneously. Grade III: needs manual reduction. Grade IV: stays out and will not reduce. Grade is the main map for treatment intensity.

More chapters in this hub

• Hemorrhoid Symptoms

  What patients notice — and which warning signs need urgent care

• Hemorrhoid Treatment

  How treatment options are matched to risk, stage, and goals

• Hemorrhoid Surgery Methods

  Excision, LigaSure, and Longo — matched to grade

• LigaSure Hemorrhoidectomy

  LigaSure: what the procedure aims to do and who it fits

• After Hemorrhoid Surgery

  Pain control, soft stools, and when to call

• Hemorrhoid Recurrence

  Honest rates by method and how to protect results