The diagnosis is confirmed by digital rectal palpation and proctoscopy of the anal canal.
With the help of transperineal (through the perineum) Doppler sonography, increased local blood flow to the hemorrhoidal plexus can be determined.
In rectal bleeding, despite the known presence of hemorrhoids, it is always necessary to perform a high colonoscopy to exclude sources of bleeding located in the proximal intestine!
Also, before starting treatment, as part of the differential diagnosis, it is necessary to exclude the following coloproctological pathology:
- Perianal thrombosis
- anal fissure
- anal fistula
- warts
- Hypertrophic anal papilla
- anal eczema
- Marisky
- Fibroma of the anal area
Differential diagnosis with oncological diseases of the rectum and anus
- colorectal cancer
- anal cancer
- anal cancer
- Cancer at the edge of the anus
- anorectal melanoma
Doctor of Medical Sciences
Head of the Clinic for General, Visceral and Minimally Invasive Surgery
Head of the Clinic for General, Visceral and Minimally Invasive Surgery
Professor, MD, PhD
Head of the Clinic for General, Visceral, Thoracic and Endocrine Surgery
Head of the Clinic for General, Visceral, Thoracic and Endocrine Surgery
Video
Precise mathematical calculations for the most effective radiation therapy.
Radiation therapy without harm to healthy tissue? In our clinic it is possible!
Guaranteeing optimal results in oncology - an interdisciplinary approach in radiotherapy.
A complete cure for cancer is possible thanks to the high precision of radiation therapy.
How does a radiation therapy and radiation oncology clinic work in Germany? (12+)
“Treating diabetes without insulin is possible!” - Professor Martin proves.
We reduce weight, pressure, sugar levels competently - a program awarded with an international scientific award
The right diet for diabetes is tasty, simple, effective and without the need for medications (12+).
The best diabetes doctor in Germany about the innovative program together with Deutsche Klinik Allianz.
Combined oncology treatment at the Bethesda Clinic is comprehensive and effective.
A unique center for thyroid surgery under the guidance of a leading specialist in Europe.
Why the clinic takes on complex medical cases and successfully handles them - says Dr. Zimon.
The best operating ophthalmologist in Germany about his experience of working with foreign patients.
Ophthalmologist Dr. Thomalla is an innovator who performed the world's first cornea transplant (6+).
About the treatment of reflux - the best surgeon in Germany Konstantinos Tsarras
Request appointment
Useful links
Photo gallery