How is the proctologist's appointment? It is believed that this is a “male doctor”, but women also turn to the proctologist with the same problems. Inspection is the same for patients of both sexes. First, the doctor will talk with the patient, and then conduct a visual examination, manual examination, and, if necessary, use instrumental methods to accurately diagnose.
Proctologist: what kind of doctor
A proctologist (or coloproctologist - this is the name of this doctor in accordance with European standards since 1997) is engaged in the diagnosis and treatment of colon diseases. This list includes rectocele in women (that is, protrusion of the rectum through the wall of the vagina), hemorrhoids of any stage and form, injuries of the colon and rectum, proctitis, colitis, anal fissures and abrasions, helminthic invasions, benign and malignant neoplasms, irritation in areas of the anus, the entry of a foreign body into the large intestine, epithelial coccygeal passage, and so on. To get an appointment, you need to get a referral from a general practitioner. In a private clinic, you can make an appointment for a consultation without sending a therapist.
In which cases you need to contact a proctologist
How does the proctologist's appointment go, those who are faced with unpleasant symptoms that require a visit to this specialist want to know. Indeed, most diseases associated with the colon are easier to detect at the initial stage and cured by conservative methods than to wait until the moment when therapy will be possible only radical, that is, surgically. So, consult a proctologist for chronic constipation or diarrhea. These symptoms indicate problems in the digestive system. Permanent stool disorders injure the intestines and irritate its mucous membranes. This can lead to hemorrhoids and anal fissures. The doctor will check for these disorders, examine the intestinal mucosa and prescribe the appropriate treatment.
Rectal bleeding is also a very disturbing symptom, which is the reason for an urgent visit to the doctor. This may indicate an exacerbation of hemorrhoids, fistulas, polyps and more serious formations - tumors. Possible inflammation, prolapse of hemorrhoids. This condition is characterized by the sensation of a foreign body in the anus, burning, itching and severe pain. Often, with damage to the nodes, profuse bleeding opens. Pain during bowel movements may indicate anal fissures or spasm of the sphincter muscles. These disorders require special treatment. Ignoring the pathology is dangerous by the development of inflammatory and purulent processes in the surrounding tissues. In addition, preventive examinations are recommended, which must be passed to all patients older than 40 years.
How to prepare for a doctor's visit
How is the proctologist in women and men? According to the reviews, in the course of the diagnosis both manual examination and instrumental methods are used, so it is necessary to properly prepare for the reception. Preparation is not required in cases where the patient has heavy bleeding, severe pain and impaired bowel movements. With such symptoms, preparatory measures (bowel cleansing) are extremely undesirable and can even be dangerous. In other cases, the easiest and safest way to prepare are cleansing enemas.
So that the doctor can quickly and accurately examine the rectum without causing discomfort to the patient, it is necessary to make an evening cleansing enema for 1-1.5 liters or take a laxative in advance. Before the first intake, it is desirable to change the diet. It is better to go to the doctor on an empty stomach, but if you have a severe hunger or you can’t eat for a long time due to other diseases, you can have a light snack. It is necessary to avoid the use of carbonated drinks, fruits and vegetables, dairy products.
Sometimes (reviews often mention this) it is recommended to do a cleansing enema three times. Twice you need to do the procedure in the evening (interval - one hour), once again - immediately before taking. As a laxative, experts recommend using Fortrans. If time is short, they are suitable for preparing microclysters. This procedure will cleanse the intestines in 30-40 minutes. For complete cleansing, two to three microclysters are required. For one to two days before the inspection, it is recommended to use cereals, broths and lean meat. Examination, as mentioned above, is best done on an empty stomach.
Laxative
You can prepare with the help of laxatives "Endofalk" or "Fortrans". This, judging by the reviews, is a gentle method. Three packets of medicine are enough (one bag per 15-20 kg). In the evening on the eve of the day of admission (at about 18 hours) you need to dilute the powder with one liter of water. The solution should be drunk in several doses for an hour. Then they prepare the same amount of solution and drink it. Next, you need a break for an hour. Then you can drink another liter of liquid. With this scheme, the laxative will work effectively. Two hours before the inspection, you need to refuse any food.
How to put an enema
For the cleaning procedure, you need a pear (1-1.5 l). Water needs room temperature, you can use saline or soap solution, a solution with a laxative. In the supine position, you need to bend your knees and pull them to your stomach. The enema tip is smeared with petroleum jelly and gently inserted into the anus. Then you need to enter the required amount of water inside. Hold the composition should be from five to ten minutes.
How does the proctologist go
Any person who came to a consultation with a proctologist is worried and worried. Complaints are also causing concern. How is the primary appointment with a proctologist? First, the doctor will talk with the patient to collect an anamnesis, that is, complaints and lifestyle features. It is important to find out if there were any diseases that could affect today's problems. The proctologist needs to provide the most truthful data on the course of the disease. To prepare for the conversation, you need to think through the answers to such questions:
- what is the regularity of the stool;
- Have you noticed impurities of blood, mucus or pus in the feces;
- Do you experience pain, burning, or discomfort during bowel movements?
- Do you have a feeling of not completely empty bowels?
- what was the menu for the last week;
- if there are complaints of well-being (headaches, weakness, nausea, and so on).
At the reception you must not forget to take a medical card, passport, medical insurance policy and any medical documentation about previously transferred diseases, the results of tests or diagnostics.
Visual inspection
How is the proctologist's appointment for women and men further? After the survey, the doctor will begin a visual examination. This procedure allows you to detect the presence of papillomas and condylomas, tumors, external hemorrhoids, fistulous passages (appear with paraproctitis), prianal dermatitis. The patient is invited to the proctological chair. How is the appointment with a proctologist, women may immediately understand. The design of the chair is very similar to gynecological. For men, this chair will be a novelty, but such a design will allow the specialist to carefully inspect.
How is the proctologist men? On examination, the pose is the same for both men and women. The patient is offered to take a seat on the chair (lying on his back), bend his knees and spread them apart. It is important to remember that there is no need to be embarrassed during the examination. Embarrassment is an important psychological moment, which, judging by the reviews, more often occurs in men than in women. But the correct diagnosis and adequate treatment depend on a thorough diagnosis.
How is the proctologist's appointment? Reviews indicate that not all cabinets are equipped with special chairs. In this case, the patient is invited to lie on the couch on his side. The side pose is the same for men and women. To make the procedure painless, the doctor can use an anesthetic gel.
Manual research
Next, how is the first appointment with a proctologist? According to experts, the clinical picture and visual examination to clarify the diagnosis is not enough. Therefore, the doctor will conduct a manual examination, that is, palpation of the anus. This will help determine the tone of the sphincter, detect hemorrhoids or anal fissures. In men, manual examination helps determine the status of the prostate.
The study is carried out with medical gloves. To make the procedure painless, petrolatum or any ointment with an antiseptic is used. Manual research, as shown by patient reviews, does not give a very pleasant feeling, but the procedure is necessary. The doctor must make the correct diagnosis in order to subsequently prescribe adequate treatment.
Instrumental methods
How is the proctologist's appointment? A simple and affordable study is anoscopy. For the examination, the patient must be in a prone position. Using a special device (rectal mirror) determines the presence of nodes, cracks, tumors, fistulas, paraproctitis. This examination requires preliminary preparation of the patient, that is, cleansing the rectum with an enema.
A doctor can perform another procedure - rectoscopy. This is an examination of the sigmoid colon. An indication for this study is a suspicion of oncology. The procedure, according to patients, is somewhat painful, but an experienced specialist minimizes the patient’s discomfort during the manipulation.
Proctologist examination of pregnant women
How is the proctologist pregnant? When examining expectant mothers, the doctor rarely uses instrumental methods. Usually hemorrhoids (a common problem during pregnancy) can be determined visually or during a manual examination. Based on these data, treatment is prescribed.
Contraindications to the examination
How is the proctologist receiving hemorrhoids? In the same way as with other complaints. But there are a number of contraindications in which the examination manually or by instrumental methods is prohibited. Studies are not conducted with exacerbation of hemorrhoids, paraproctitis, heavy bleeding, spasm of the sphincter muscles, severe pain, vascular pathology, respiratory failure.
In such cases, the proctologist will first establish the cause of this condition and prescribe treatment to relieve acute symptoms. In the future, a thorough examination will be possible. After examining and receiving the results of the tests, the doctor will determine the diagnosis and prescribe a course of therapy, and will also advise what preventive measures should be followed in order to avoid further exacerbations of the disease.