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How are hemorrhoids diagnosed?

To diagnose an internal hemorrhoid, the physician will place an instrument – either an anusscope or a proctoscope – into the anorectal canal so they can see any hemorrhoids. Internal hemorrhoids are located above a particular anatomic region, so they are higher up in the anorectal canal with a different nerve supply. External hemorrhoids are located right at the anal-rectal connection or even more externally. External hemorrhoids are diagnosed by direct observation.

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