I need help with a patient reporting a bleeding anus after defecation. It appears red at the physical exam and it seems like it's bleeding from all the sides, there is not a definite wound. The patient reports having violent and painful anal sex 3 or 4 weeks ago, but I don't thing the effects of that would manifest now, correct me if I'm wrong. How to manage the situation?
I’m no doctor, but if you can’t diagnose from the outside then you gotta use sone method to diagnose from the inside - right?