Can You Undergo a Colonoscopy with Hemorrhoids and Anal Fissures? - Surgery

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Can hemorrhoids and anal fissures undergo colonoscopy?


Can hemorrhoids and anal fissures undergo a colonoscopy? I have some hemorrhoids and hard stools have caused an anal fissure.
I visited a doctor and have a colonoscopy scheduled for next week.
However, will taking the laxative and experiencing diarrhea worsen my hemorrhoids and anal fissure, or is it safe to proceed with the colonoscopy?

Tina, 30~39 year old female. Ask Date: 2021/12/04

Dr. Yu Mingchang reply Surgery


Hello: Can hemorrhoids and anal fissures undergo a colonoscopy? Answer: Yes, a colonoscopy can be performed.
Will taking laxatives and experiencing diarrhea worsen hemorrhoids and anal fissures? Answer: No, it will not worsen them.
Changhua Hospital cares about your health.

Reply Date: 2021/12/04

More Info


Undergoing a colonoscopy when you have hemorrhoids and anal fissures is generally considered safe and necessary if indicated by your symptoms. Hemorrhoids, which are swollen veins in the lower rectum and anus, and anal fissures, which are small tears in the lining of the anus, can cause discomfort and bleeding. However, they do not typically prevent you from having a colonoscopy.

When preparing for a colonoscopy, patients are usually required to take a laxative to clear the bowel. This process can lead to frequent bowel movements, which might cause some concern for individuals with hemorrhoids or anal fissures. The main worry is that the increased straining or irritation from frequent bowel movements could exacerbate the symptoms of hemorrhoids or cause further discomfort from anal fissures.

However, it is important to note that the benefits of undergoing a colonoscopy often outweigh the potential risks associated with your existing conditions. Colonoscopy is a crucial diagnostic tool for identifying issues such as polyps, tumors, or sources of gastrointestinal bleeding. If you have been experiencing symptoms such as blood in your stool or significant changes in your bowel habits, it is essential to have a thorough evaluation.

Here are some considerations and recommendations for your situation:
1. Inform Your Doctor: Before the procedure, make sure to inform your healthcare provider about your hemorrhoids and anal fissures. This information will help them take appropriate precautions during the procedure and preparation phase.

2. Gentle Preparation: If you are concerned about the laxative preparation worsening your symptoms, discuss this with your doctor. They may be able to recommend a gentler preparation method or provide additional strategies to minimize discomfort.

3. Post-Procedure Care: After the colonoscopy, you may experience some discomfort due to the procedure itself, especially if you have pre-existing conditions. It is advisable to follow your doctor's post-procedure care instructions carefully, which may include recommendations for managing any pain or discomfort.

4. Managing Hemorrhoids and Fissures: If you find that your hemorrhoids or fissures worsen after the procedure, consider consulting a specialist for further management. Treatments may include topical medications, dietary changes to soften stools, or in some cases, surgical options.

5. Hydration and Diet: During the preparation phase, ensure you stay well-hydrated and consider a diet that includes fiber to help soften your stools. This can help minimize the risk of aggravating your fissures and hemorrhoids.

In summary, while having hemorrhoids and anal fissures may cause some concern regarding the colonoscopy preparation and procedure, it is generally safe to proceed with the examination. The key is to communicate openly with your healthcare provider about your concerns and follow their guidance to ensure a smooth process. Remember, the colonoscopy is an important step in maintaining your gastrointestinal health, especially if you have concerning symptoms.

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