Anoscopy is one of the more common examination methods in anorectal surgery, also known as proctoscopy, which requires the use of an anoscope of approximately 7 cm in length. It is a routine physical examination method for anal diseases. It can be used to distinguish the diseased conditions of the anal canal, duodenum and other places. It is simple and easy to use and is suitable for general patients. So, what are the common problems with anoscopy? 1. The patient must excrete all the excrement. Before anoscopy, the patient should go to the toilet as much as possible and keep the lower bowel clear. Patients can take appropriate laxatives to completely eliminate the body's excretions, and try not to choose highly irritating drugs, especially for patients with symptoms such as bloody stools, loose stools or pain. 2. Take the side-lying or lithotomy position. The patient should be placed in the side-lying or lithotomy position to fully expose the anus. Before the examination, the patient should take a deep breath to help the anus expand and completely release pressure. 3. The operator should wear rubber gloves and apply lubricant. It is best for the operator to wear rubber gloves and apply lubricant on his left hand, and first palpate the skin and tissues around the anus to determine whether there are any lumps or pain around the anus. Follow the principle of slow advancement and slow withdrawal, lubricate the anoscope and then insert it slowly, do not insert it suddenly, so as to avoid causing dilatation muscle spasm and pain. 4. To test the tightness of the dilator, after insertion, check whether the rectal cavity has dull pain, lumps, fluctuations or narrowing. If a lump is touched, its size, location and strength must be determined. Male patients can touch the prostate, and female patients can touch the cervix. Don't mistake these for lumps. If necessary, a bimanual examination should be performed, and after withdrawal, it should be observed whether there is any blood stain or mucus. The above are 4 common problems when doing anoscopy. Anoscopy is a very important examination method that can be used to diagnose a variety of diseases, including mixed hemorrhoids, polyps, rectal cancer, genital warts, etc. Before undergoing anoscopy, the patient must make relevant preparations in advance, such as going to the toilet. If you feel any discomfort, be sure to tell your doctor immediately. |
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