How Do I Know if I Have Hemorrhoids?
A hemorrhoid diagnosis is based on a medical history and physical exam, which help a doctor identify the type of hemorrhoid: external hemorrhoids or internal hemorrhoids – and determine the appropriate hemorrhoid treatment.
If a doctor thinks that hemorrhoids are the obvious cause of rectal bleeding in a person younger than age 50, an examination with a gloved finger (digital rectal exam) or a short lighted scope (anoscopy) are the only tests needed for an initial evaluation.
If you are older than age 50, or if anoscopy does not provide a clear diagnosis, a doctor may use a flexible sigmoidoscope to look at the lower third of the colon or a colonoscope, a colonoscopy procedure, to examine the entire colon. The doctor will evaluate symptoms of hemorrhoids to rule out other, more serious problems.