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Symptoms » Anorectal pain » Diagnostic Tests
 

Diagnostic Tests for Anorectal pain

Diagnostic Test list for Anorectal pain:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Anorectal pain includes:

  • External Physical examination - external hemorrhoids, perianal haematoma, anal fissure, anal fistula, anal herpes, perianal abscess.
  • Digital rectal examination - noting any mass, tenderness or blood. The presence of rectal pain with a mass would suggest internal and external hemorrhoids, rectal cancer and perianal abscess.
  • In women a mass felt may also indicate acute salpingitis, ectopic pregnancy or endometriosis which may cause rectal pain
  • Swab of any perianal lesions - to diagnose herpes.
  • Blood tests
    • Full blood count - to detect infection e.g. perianal abscess, acute salpingitis.
    • Pregnancy test - ectopic pregnancy may cause rectal pain.
    • Sexually transmitted disease screen - if appropriate.
  • Sigmoidoscopy and Proctoscopy - allow visualization of any lumps or swellings that have been felt or to exclude other impalpable lesions and to take a biopsy of lump.
  • Colonoscopy - if suspect bowel cancer, Crohn's disease or Ulcerative colitis.
  • Pelvic Ultrasound - may be needed to exclude ectopic or other pelvic masses.
  • Laparoscopy - may be required to eliminate endometriosis as a possible cause of rectal pain.

Home Diagnostic Testing

These home medical tests may be relevant to Anorectal pain causes:


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