gastrointestinal disorders
How To Do Anoscopy
Tips and Tricks of Anoscopy
Inspection of the external perianal area may be adequate to diagnose causes of severe anal pain such as a fissure, thrombosed external hemorrhoid, or some abscesses; in these cases, digital exam and anoscopy may not be indicated. If prolapse is suspected, a Valsalva maneuver may reveal prolapsing hemorrhoids or mucosa. Asking the patient to bear down while inserting a finger for digital exam or the anoscope may make the insertion easier. Keep one finger pressed on the guide plug (usually your thumb) to prevent it from falling out during insertion until you are ready to remove it. 