How to identify internal and external hemorrhoids
The symptoms of hemorrhoids are similar to other problems that can affect the digestive system, and the doctor usually uses several methods to: Detection of internal and external hemorrhoids and diagnosis of infection. 
learn about Identification methods of internal and external hemorrhoids.
can include Diagnosis of hemorrhoids the following:
Get a medical history
the first step To identify internal and external hemorrhoids Ask the patient about symptoms, including:
- Pain in the anus.
- Bleeding from the anus.
- Itching and irritation in the anus area.
- constipation or diarrhea;
- Presence of mucus in stool.
- Unexplained weight loss. [2،3]
for more: Symptoms of hemorrhoids in women and men, what are they?
Also, the doctor will ask about the family history of hemorrhoids, and the presence of any diseases or factors that may increase the risk of hemorrhoids, such as suffering from chronic constipation, having anal sex, or colon surgery. [2،4]
Examining the rectal area can help detection of external hemorrhoids, Where the doctor will put on gloves and then look at the anus and the area around it, looking for any swellingLumps or irritation in them. [1،3]
Regarding To identify internal hemorrhoids, The doctor will insert a finger into the anus to feel the internal structures. However, this is not always possible Detection of internal hemorrhoids In this way, especially if it is located in a deep area of the anus. [1،2]
This test can be embarrassing for most patients, but it is usually done quickly, and the doctor may apply a gel or cream to make it easier to insert the finger into the anus. [1،2]
Endoscopy to detect hemorrhoids
To identify internal and external hemorrhoids Your doctor can perform an endoscopy, which helps take a closer look at the rectum and anus. What types of endoscopy are used? To identify internal and external hemorrhoids:
- Sigmoidoscopy Which helps to examine the anus, which is the lower part of the large intestine.
- Anal endoscopy to examine the internal rectal area.
- Colonoscopy, which helps examine the entire colon. [3،4]
Also read: External hemorrhoids between danger and treatment
If a mass is found in the anus or rectum during the endoscopy, the doctor may numb the area and then take a sample of the mass for examination under a microscope. 
Biopsy does not help Identification of internal or external hemorrhoids, Instead, we rule out any other disease that can cause symptoms similar to those of hemorrhoids, such as Colon cancer. 
of ways Detection of internal hemorrhoids This is an x-ray of the lower colon, where the patient is given an enema containing barium, and then x-rays are used to image the colon. 
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Surgeries and tests to detect hemorrhoids
There are no specific blood tests for hemorrhoids, but the doctor may order some blood tests to help uncover the causes and other health problems in the patient that may be causing the patient’s symptoms. 
For example, if there is anal bleeding Severe, your doctor may order a hemoglobin level test or red blood cell count. 
Diseases whose symptoms are similar to those of hemorrhoids
during the operation Identification of internal and external hemorrhoids, It is necessary to exclude all diseases whose symptoms may be similar to those of hemorrhoids, and these diseases include:
- Intestinal polyps.
- Anal fissures.
- Anal fistula.
- Inflammatory colon diseases.
I have pain in my anus and for a few days I used to bleed with my stool, but now I don’t, only pain like tingling, burning and little discharge what is the reason?
End, can demand Detection of external and internal hemorrhoids A number of procedures can help establish the presence of rectal or rectal hemorrhoids, or help rule out diseases that may cause symptoms similar to those of hemorrhoids.