What are the methods of Screening & Diagnosis?

On presenting with symptoms of piles, your doctor will conduct a thorough medical history and physical examination. Physical examination can help identify external piles that form on or around the anus.
The following tests may be conducted to diagnose internal piles:

Digital rectal examination: Your doctor will insert a lubricated gloved finger into your rectum to detect abnormal growths. However, internal piles may be so small that they cannot be detected by digital rectal examination. Inform your doctor if you experience intense pain or discomfort during the procedure.

Anoscope, Proctoscope, Sigmoidoscope or Colonoscope: These scopes are flexible lighted tubes that help your doctor to view your anus, rectum, and lower colon for abnormal lumps. Your doctor may recommend colonoscopy if you are at a high risk of developing colorectal cancer or are suspected to have some other disease of the digestive system.

Some other tests include:

• Biopsy: If required, a sample of tissue can be removed for analysis.
• Blood tests: If you experience heavy bleeding, your doctor may order blood tests toevaluate red blood cell countor haemoglobin (oxygen-transporting protein in blood) levels.
• Barium enema X-ray: Your doctor will inject a contrast material into your colon and take X-rays to identify any abnormal lumps.