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Please consider making a contribution to wikiHow today. To give a rectal exam, first lubricate your gloved finger with warm petroleum jelly to keep the anal canal relaxed.

Then, with your patient on their side, assess their anus for abnormalities, such as hemorrhoids, warts, rashes, or fissures.

Next, part their buttocks and gently insert your finger into their anal canal. Once your finger is inside, rotate it to feel for any abnormalities, like bumps, hard spots, soft spots, or fissures.

For more tips from our Medical co-author, including how to maintain hygiene standards during a rectal exam, read on! Did this summary help you? Yes No.

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Learn why people trust wikiHow. Explore this Article parts. Tips and Warnings. Related Articles. Article Summary.

Part 1 of Explain the procedure and make sure consent is provided. If you are a medical professional who will be performing an anorectal exam, then your first step should be to explain to your patient what the exam entails.

Then, have the patient sign a consent form if they agree to undergo the procedure. Sanitize your hands and wear gloves. Using warm water with soap is usually adequate, but you may want to use an alcohol-based sanitizing gel also.

Dry your hands thoroughly and then put on a new pair of nitrile or latex-free examination gloves. In the medical field, digital rectal exams DRE are typically done by your family doctor, gynecologist, proctologist, or nurse practitioner.

Proctology is the branch of medicine that deals with problems of the anus, rectum and colon. Keep them covered with a gown or blanket for privacy and warmth.

Place a protective pad under their buttocks as well. Women may be examined as part of the pelvic exam therefore they may be laying back with their feet in stirrups.

Men are often examined while they are standing up, unless they are feeling nervous and then laying down may be more comfortable.

Laying on their side is often more relaxing and provides better access to the anal canal. To feel more comfortable, it may be best to have a DRE carried out by someone of the same gender.

Man on man or woman on woman, a request for a nurse to be present is also an option. It may also help ease anxiety and vulnerability to have a friend or family member present during the exam.

Position and drape the patient for warmth as well as privacy. Apply warm lubricant to your index finger. Even room-temperature gel can feel cool and cause the anal canal to contract, which makes the digital exam more challenging.

The goal is to have the anal tissue as relaxed as possible, so inserting a finger doesn't become uncomfortable or painful. Sometimes a rectal examination is carried out using a local anesthetic in order to numb the anal area and reduce discomfort.

This is particularly true if the examiner has large fingers and the examinee has an especially tight anal sphincter. Alternatively, most gels and lubricants can be warmed in a microwave for seconds.

All rights reserved. This image may not be used by other entities without the express written consent of wikiHow, Inc. Insert your finger into the anal canal gently.

Right before inserting your finger, quickly assess the anus for any abnormalities, such as hemorrhoids swollen blood vessels , warts, rashes or fissures tissue tears.

Feel for any abnormalities. Once inside the rectum, use your index finger to feel for any abnormalities, such as unusual bumps, hard spots, soft spots or fissures.

You can also palpate the prostate gland in males through the wall of the rectum. Feel anteriorly towards the front for the prostate, which has two lobes with a cleft between them.

A healthy prostate gland is smooth to the touch and not painful upon probing. Remove your finger and clean the area when finished.

Then clean off any lubricant around the anus and remove and dispose of your gloves, and wash your hands. Allow the patient to wipe themselves off in privacy with some soft tissue paper and let them know they can get dressed.

To remove your soiled glove, take your index finger of your other hand which should be clean , place it under the cuff of the soiled glove, then pull down towards your fingers and peel it off.

The exam itself shouldn't cause bleeding, so if you see blood on your glove that could be a signs of hemorrhoids or another internal problems. After the procedure, check to see how the patient is feeling, especially if he was nervous before the procedure began.

Also, keep in mind that going from a laying to standing position can make some people feel faint, so encourage the patient to do this slowly and observe them for a few minutes.

You need to login to download this video. Channels: Medical. Tags: Rectovaginal Exam. Uploaded by: RobertHooke Send Message on Duration: 2m 46s. Skip Ad.

Download You need to login to download this video. Snap Photo. Right click on the image below and then select "Save image as" option to save the image for your powerpoint presentations.

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Demonstration of a breast exam views. Power reflex sensory cranial nerves a gen Clinical of a basic cardiovascular exam views.

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In the medical field, digital rectal exams DRE are typically done by your family doctor, gynecologist, proctologist, or nurse practitioner. Proctology is the branch of medicine that deals with problems of the anus, rectum and colon.

Keep them covered with a gown or blanket for privacy and warmth. Place a protective pad under their buttocks as well. Women may be examined as part of the pelvic exam therefore they may be laying back with their feet in stirrups.

Men are often examined while they are standing up, unless they are feeling nervous and then laying down may be more comfortable.

Laying on their side is often more relaxing and provides better access to the anal canal. To feel more comfortable, it may be best to have a DRE carried out by someone of the same gender.

Man on man or woman on woman, a request for a nurse to be present is also an option. It may also help ease anxiety and vulnerability to have a friend or family member present during the exam.

Position and drape the patient for warmth as well as privacy. Apply warm lubricant to your index finger. Even room-temperature gel can feel cool and cause the anal canal to contract, which makes the digital exam more challenging.

The goal is to have the anal tissue as relaxed as possible, so inserting a finger doesn't become uncomfortable or painful.

Sometimes a rectal examination is carried out using a local anesthetic in order to numb the anal area and reduce discomfort.

This is particularly true if the examiner has large fingers and the examinee has an especially tight anal sphincter. Alternatively, most gels and lubricants can be warmed in a microwave for seconds.

All rights reserved. This image may not be used by other entities without the express written consent of wikiHow, Inc. Insert your finger into the anal canal gently.

Right before inserting your finger, quickly assess the anus for any abnormalities, such as hemorrhoids swollen blood vessels , warts, rashes or fissures tissue tears.

Feel for any abnormalities. Once inside the rectum, use your index finger to feel for any abnormalities, such as unusual bumps, hard spots, soft spots or fissures.

You can also palpate the prostate gland in males through the wall of the rectum. Feel anteriorly towards the front for the prostate, which has two lobes with a cleft between them.

A healthy prostate gland is smooth to the touch and not painful upon probing. Remove your finger and clean the area when finished.

Then clean off any lubricant around the anus and remove and dispose of your gloves, and wash your hands. Allow the patient to wipe themselves off in privacy with some soft tissue paper and let them know they can get dressed.

To remove your soiled glove, take your index finger of your other hand which should be clean , place it under the cuff of the soiled glove, then pull down towards your fingers and peel it off.

The exam itself shouldn't cause bleeding, so if you see blood on your glove that could be a signs of hemorrhoids or another internal problems. After the procedure, check to see how the patient is feeling, especially if he was nervous before the procedure began.

Also, keep in mind that going from a laying to standing position can make some people feel faint, so encourage the patient to do this slowly and observe them for a few minutes.

Part 2 of Get an anorectal exam if you have blood in your stool. If you notice blood in the toilet when you defecate poop or while you're wiping yourself afterwards, then schedule an appointment with your doctor.

If your doctor suspects you are bleeding from somewhere in your digestive tract large intestine or colon, particularly , then they may want to perform a colonoscopy.

More serious, but unusual causes for blood include: anorectal cancer or some form of irritable bowel syndrome, such as ulcerative colitis or Crohn's disease.

A normal finding means your doctor didn't find anything obvious, but an anorectal exam does not rule out all problems. Other tests, including a colonoscopy or x-ray, might be needed.

A DRE is typically performed without using any drugs or anesthesia because it's seldom painful. Get an exam if you're a man and have trouble urinating.

Another common reason to get an anorectal exam is to check the male prostate gland for abnormal growth or tenderness.

The prostate is located near the bladder and in front of the rectum, which makes it easy to check during a DRE. An enlarged or inflamed prostate causes internal pelvic pain and problems with urination, such as dribbling and trouble initiating.

In men, a DRE is done to check the size of the prostate gland and to look for abnormal bumps or tenderness. Slow benign prostate growth is very common but not serious in America men older than 50 years.

However, a malignancy is serious and further tests and early detection increase the chances of recovery. Go for yearly checkups or more often if you think there might be a problem.

If your doctor thinks your prostate feels abnormal, they will likely order a blood test and look for your prostate-specific antigen PSA levels.

High PSA levels sometimes indicate prostate cancer. Another test to help diagnose a prostate problem is a prostate ultrasound transrectal ultrasound , which is often done in conjunction with a glandular biopsy tissue sample.

Incorporate an anorectal exam into your yearly physical. Instead of waiting for a problem or noticeable symptoms to occur in your lower gastrointestinal GI tract, get regular anorectal exams.

Most doctors recommend adding a DRE to your routine yearly physical exam, regardless if you're male or female. An annual digital exam and fecal occult blood testing a sample of your stool is recommended if you are over 40 years old.

Women should get these tests done in conjunction with their annual gynecological exams. For men, a DRE is often done standing and bent over at the waist as it's easier to access the prostate gland.

Uterine and ovarian cancer can also be tested for in women when a DRE is done along with a vaginal exam. You are never required to get a rectal exam.

I would recommend it as part of an annual physical for men and as part of the annual gynecological exam for women. It is particularly important that men over the age of 40 get a DRE to not only check the condition of the anus and rectum, but also to examine the prostate.

Duration: 2m 46s. Skip Ad. Download You need to login to download this video. Snap Photo. Right click on the image below and then select "Save image as" option to save the image for your powerpoint presentations.

Or press "Snap Photo" again to take another image! Rectovaginal Exam Rectovaginal Exam is performed in this medical video.

Comments Embed Download Features. Demonstration of a breast exam views. Power reflex sensory cranial nerves a gen Clinical of a basic cardiovascular exam views.

Video of Thyroid gland clinical exam views. Abdominal Clinical Exam views. Video of a hip exam views. Excision of rectovaginal nodule views.

Teen Rectal Exam

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