Which physical findings are characteristic of hemorrhoids?

Updated: Sep 24, 2019
  • Author: Kyle R Perry, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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The following are external findings that are important to note:

  • Redundant tissue

  • Skin tags from old thrombosed external hemorrhoids

  • Fissures

  • Fistulas

  • Signs of infection or abscess formation

  • Rectal or hemorrhoidal prolapse, appearing as a bluish, tender perianal mass

Digital examination of the anal canal can identify any indurated or ulcerated areas. Also assess for any masses, tenderness, mucoid discharge or blood, and rectal tone. Because internal hemorrhoids are soft vascular structures, they are usually not palpable unless thrombosed.

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