Diagnosis of hemorrhoidal disease starts in the office with a good history and physical exam. At the conclusion of office consultation, a number of diagnostic tests may be ordered to confirm the diagnosis.


Anoscopy is a simple test that can be performed in office with no sedation. Anoscopy is the most accurate test to examine the anal canal and distal rectum. It helps visualize internal hemorrhoids safely and quickly.


A thin, flexible, lighted tube is inserted into the rectum and advanced through the colon. The test can detect inflammation, polyps, cancer, bleeding and internal hemorrhoids. Patient is sedated during procedure. Small tissue samples called biopsies may be taken if needed.