Is It Normal for a Rectal Exam to Involve Undressing?

Will the colorectal surgery outpatient clinic require patients to remove their pants for examination?

I have been experiencing gastrointestinal discomfort for a long time, so I went to the colorectal surgery outpatient clinic.
I originally thought that only a stool sample would be needed (I did not want to undergo a colonoscopy), but then the male doctor suddenly asked me to remove my pants and lie on the bed.
Without any prior notice, he inserted his finger directly into my rectum and began to probe.
It was very painful, and when I reacted, the doctor just told me to endure it.
Is this normal?

Guagua, 20~29 year old female. Ask Date: 2020/08/08

Dr. Huang Zifei reply Obstetrics and Gynecology

Dear Guagua,
In obstetrics and gynecology, it is common to perform a pelvic examination, which may involve removing clothing.
For colorectal surgery, the quickest and most direct examination is a digital rectal exam.
Many rectal tumors are detected through this examination (colorectal cancer is one of the top ten most common cancers in our population).
If you feel shy or embarrassed during your next visit, you can seek consultation with a female colorectal surgeon.

Dr.
Huang Zifei, Obstetrics and Gynecology, Nantou Hospital

Reply Date: 2020/08/08

More Info

When it comes to medical examinations, especially those involving sensitive areas such as the rectum, it's essential to understand the protocols and practices that healthcare professionals follow. In the context of your question regarding whether it is normal for a rectal exam to involve undressing, the answer is nuanced.

Firstly, a rectal exam is a common procedure performed by healthcare providers to assess various conditions related to the gastrointestinal tract, prostate health in men, and other related issues. The exam can help diagnose conditions such as hemorrhoids, anal fissures, rectal tumors, or prostate problems.
Typically, during a rectal examination, the patient is asked to undress from the waist down. This is standard practice because it allows the physician to perform a thorough and unobstructed examination. The patient is usually positioned in a way that provides the doctor with adequate access while ensuring the patient's comfort and privacy. Common positions include lying on the side (the Sims position) or bending over a table.

However, it is crucial for healthcare providers to communicate clearly with patients about what to expect during the examination. Patients should be informed about the necessity of the exam, what it entails, and why certain actions, such as undressing, are required. This communication is vital for building trust and ensuring that the patient feels comfortable and safe during the procedure.

In your case, it seems that the physician did not adequately explain the need for the rectal examination or the reasons behind the procedure. This lack of communication can lead to feelings of discomfort, anxiety, or even violation of personal boundaries. If you felt pain during the examination, it is also essential to communicate this to your healthcare provider. Pain can be a sign of an underlying issue that may need further investigation or a different approach to examination.

If you have concerns about how the examination was conducted, or if you felt uncomfortable or in pain, it is advisable to discuss these feelings with your healthcare provider. You have the right to ask questions and seek clarification about any medical procedure. If you feel that your concerns were not addressed adequately, consider seeking a second opinion or discussing your experience with another healthcare professional.

In summary, while it is standard for a rectal exam to involve undressing, clear communication and consent are critical components of the process. If you ever feel uncomfortable during a medical examination, it is essential to voice your concerns and seek clarification. Your comfort and understanding should always be a priority in any healthcare setting.

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