Diagnosis of hemorrhoids is an important step for determining the course of treatment. People suffering from hemorrhoids often feel it in the form of lump hanging out of anus, known as external hemorrhoid. It can be clearly felt during washing or wiping of anus after bowel. You may also notice droplets of blood in the toilet bowl that clearly indicates that you are having hemorrhoid.
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There are other prominent symptoms of hemorrhoids as well. Feeling of itchiness and burning sensation around the anus with the development of anal fissures. External hemorrhoids can be detected by visual examination, while mild internal hemorrhoids require an anoscopy. It is a process in which lighted instrument is used to view the anal canal and rectum. Prolapsed internal hemorrhoids can be detected by having the patient strain over the toilet.

Sometimes it becomes quite difficult to diagnose hemorrhoids as bleeding can also be a symptom of other digestive disorders like anal fissure and inflammatory bowel infection. In such circumstances your doctor should recommend additional test such as Proctoscopy, Flexible sigmoidoscopy and Colonoscopy. External hemorrhoids can be diagnosed easily as a bump and dark area around the anus. If the lump is tender, it suggests that the hemorrhoid is Thrombosed. Any lump needs to be carefully examined.
Commonly, hemorrhoids are not so severe, except in few cases, with the help of effective treatment, hemorrhoid symptoms should disappear within a few days. Generally hemorrhoids can be treated with changes in lifestyle. Commonly hemorrhoid relief does not rely on surgery unless the hemorrhoids are severe and causes the patient a lot of discomfort.
While you may feel embarrassing but it would be better to undergo proper diagnosis of hemorrhoids for its treatment as early as possible. It becomes difficult to treat hemorrhoids at a later stage as it becomes quite serious with increased severe complications.