About this procedure
A proctologist consultation helps investigate rectal bleeding, anal pain, itching, swelling and discharge. The visit begins with a discussion of symptoms and an individual decision about which examinations are appropriate.
What you should know
Before attending, note when the symptoms began, the amount and colour of any blood, bowel habits and medicines, particularly anticoagulants. Previous test results, operations and family history may also be relevant. Tell the clinician about any concerns regarding the examination.
Symptoms and reasons for assessment
Reasons for consultation include blood after bowel movements, pain, persistent itching, an anal lump, mucus or pus, and ongoing changes in stool. More than one condition can produce the same symptom, so an examination is more informative than choosing a treatment by symptom alone.
Other possible explanations
Haemorrhoids are one possible explanation but are not the cause of every bleeding episode. Fissures, abscesses, fistulas, polyps and bowel disease may need a different diagnostic or treatment pathway.
How the problem is assessed
After taking the history, the clinician may perform a careful external examination and, with consent and if appropriate, a digital rectal examination. Laboratory or endoscopic tests are selected according to symptoms and risks; not every patient requires all procedures shown in a general price list.
Treatment and follow-up options
The appointment should end with an explanation of provisional findings, recommended investigations and next steps. Availability of particular minimally invasive or surgical procedures, and the branch where they are performed, must be checked separately when booking.
When urgent care is needed
Do not wait for a routine proctology visit if there is heavy ongoing bleeding, fainting, severe anal pain with fever or rapidly growing swelling. Seek emergency care; call 103 for major bleeding or a life-threatening condition.
Related health information
Bleeding during bowel movements; Paraproctitis (perianal abscess); Rectal polyps.
Signs and symptoms
Diagnosis and tests
Care and treatment approaches
When to seek urgent care
Frequently asked questions
Do I need special preparation for a first proctology visit?
Ask when booking. Usually it helps to bring previous reports, a medication list and a clear account of symptoms.
Does seeing a proctologist mean surgery will be performed immediately?
No. The first step is assessment and selection of investigations or treatment as needed.
Can an examination be adapted if I have severe pain?
Yes. Tell the clinician. The sequence and extent of the examination can be adjusted to what is safe and tolerable.
Information sources
Medical source links used when preparing this article.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
