Your examination, step by step
Consultation takes place in a private examination room. You lie mainly on your left side and wear special examination pants so your buttocks are not exposed more than necessary. Before any anoscope is used, the doctor gently palpates the area to judge pain and tension, performs a rectal examination to check for bleeding or tumors, and only then proceeds to the anoscope — explaining the monitor image to you as he goes, if you wish.
The doctor selects different types of anoscope depending on comfort and what needs to be seen. Your description of symptoms — bleeding or pain on the toilet, pain at rest, changes over time — is an important part of the diagnosis. Ultrasound and MRI are used when more detail is needed, especially for anal fistulas.
Conditions we treat
Self-diagnosis is often wrong for anal conditions — an appropriate medical examination should always come first. Most perianal abscesses and some thrombosed external hemorrhoids need emergency surgery; contact us promptly if you have acute pain or swelling.
When a colonoscopy matters
Blood on the stool, discomfort during bowel movements, or a change in toilet habits can also indicate large-bowel disease — colon cancer, inflammatory bowel disease, or polyps (some of which are pre-cancerous). In these cases colonoscopy is vitally important, and we perform it here with CO₂ insufflation for comfort. See gastroenterology.
Treatment — from injections to surgery
Where possible we prefer less invasive treatment, such as ALTA (Zione) injection sclerotherapy for internal hemorrhoids, which often avoids cutting entirely and shortens recovery dramatically. When surgery is needed, the director is a Japanese certified clinic proctologist and board-certified surgeon — see our surgical results.
Symptoms like hemorrhoid prolapse sometimes don't show during the examination — they may appear only at home or after childbirth. If that happens, a photo taken at home can genuinely help the diagnosis; ask us how to share it safely.
Ready to visit us?
Book online, or call — our receptionists speak English and will guide you through your first visit.