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
Professor, MD, PhD
Head of the Clinic for General, Visceral, Thoracic and Endocrine Surgery
Professor, MD, PhD
Head of the Clinic for General and Visceral Surgery