If you notice blood in the toilet when you defecate (poop) or while you're wiping yourself afterwards, then schedule an appointment with your doctor. If your doctor suspects you are bleeding from somewhere in your digestive tract (large intestine or colon, particularly), then they may want to perform a colonoscopy. Common reasons to see blood include hemorrhoids, small anal fissures and broken blood vessels from straining or wiping too hard.   More serious, but unusual causes for blood include: anorectal cancer or some form of irritable bowel syndrome, such as ulcerative colitis or Crohn's disease. A normal finding means your doctor didn't find anything obvious, but an anorectal exam does not rule out all problems. Other tests, including a colonoscopy or x-ray, might be needed. A DRE is typically performed without using any drugs or anesthesia because it's seldom painful. The exam only takes a few minutes to complete. Another common reason to get an anorectal exam is to check the male prostate gland for abnormal growth or tenderness. The prostate is a walnut-sized gland that secretes fluid during ejaculation that protects and nourishes sperm cells. The prostate is located near the bladder and in front of the rectum, which makes it easy to check during a DRE. An enlarged or inflamed prostate causes internal pelvic pain and problems with urination, such as dribbling and trouble initiating.   In men, a DRE is done to check the size of the prostate gland and to look for abnormal bumps or tenderness. Slow benign prostate growth is very common (but not serious) in America men older than 50 years. However, a malignancy is serious and further tests and early detection increase the chances of recovery. Go for yearly checkups or more often if you think there might be a problem. If your doctor thinks your prostate feels abnormal, they will likely order a blood test and look for your prostate-specific antigen (PSA) levels. High PSA levels sometimes indicate prostate cancer. Another test to help diagnose a prostate problem is a prostate ultrasound (transrectal ultrasound), which is often done in conjunction with a glandular biopsy (tissue sample). Instead of waiting for a problem or noticeable symptoms to occur in your lower gastrointestinal (GI) tract, get regular anorectal exams. Most doctors recommend adding a DRE to your routine yearly physical exam, regardless if you're male or female. Men should consider a DRE with a proctologist as part of an annual prostate screening exam, particularly if they are older than 40 years. An annual digital exam and fecal occult blood testing (a sample of your stool) is recommended if you are over 40 years old. Women should get these tests done in conjunction with their annual gynecological exams.   For men, a DRE is often done standing and bent over at the waist as it's easier to access the prostate gland. Uterine and ovarian cancer can also be tested for in women when a DRE is done along with a vaginal exam.  In addition to rectal bleeding and urinary issues, other reasons for getting a DRE include: a change in bowel habits, pelvic and/or abdominal pain, and discharge or bleeding from your urethra.
اخضع للفحص الشرجي إذا ما اكتشفت وجود دماء في البراز. اخضع للفحص إذا كنت رجلًا وتُعاني من مشاكل في التبول. اجعل الفحص الشرجي جزءًا من الفحص الدوري السنوي الذي تخضع له.