How are the effects of constipation determined in a physical exam?

Updated: Mar 30, 2020
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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In addition to delineating the cause of the constipation, the anorectal examination should be used to determine the effects of the constipation. The presence of fissures or fistulae, any evidence of scars from previous perirectal abscess drainages or other surgeries, and the nature of the patient’s hemorrhoidal columns should be noted and characterized. Enlarged hemorrhoids do not require treatment unless they cause symptoms.

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