How the Test is Performed

The procedure is usually done in a doctor's office.

A digital rectal exam is done first. Then, a lubricated instrument (anoscope) is placed a few inches into the rectum. You will feel some discomfort when this is done.

The anoscope has a light on the end, so the health care provider can see the entire anal canal. A specimen for biopsy can be taken if needed.

How to Prepare for the Test

You may receive a laxative, enema, or other preparation before the procedure so that you can completely empty your bowels. You should empty your bladder before the procedure.

How the Test Will Feel

There will be some discomfort during the procedure, and you may feel the need to have a bowel movement. You may feel a pinch when a biopsy is taken. You can usually return to normal activities after the procedure.

Why the Test is Performed

This test may be used to determine whether you have:

• Anal fissues
• Anal polyps
• Hemorrhoids
• Infection
• Inflammation
• Tumors

Normal Results

The anal canal appears normal in size, color, and tone. There is no evidence of bleeding, polyps, hemorrhoids, or other abnormal tissue.

What Abnormal Results Mean

Abnormal results may include:

• Abscess
• Fissures
• Hemorrhoids
• Infection
• Inflammation
• Polyps (non-cancerous or cancerous)
• Tumors

Risks

There are few risks. If a biopsy is needed, there is a slight risk of bleeding and mild pain.

Updated: 4/1/2012

Reviewed by: Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.