U Assessment

HISTORY. Establish a history of anal itching, blood on the toilet tissue after a bowel movement, and anorectal pain or discomfort. Ask if the patient has experienced any mucous discharge. Determine if the patient can feel the external hemorrhoids. Elicit a history of risk factors and dietary patterns.

PHYSICAL EXAMINATION. Inspect the patient's anorectal area, noting external hemorrhoids. Internal hemorrhoids are discovered through digital rectal examination or anoscopy. Note any subcutaneous large, firm lumps in the anal area.

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