Digital rectal exams (DREs) are a type of medical exam used to check for abnormalities in the rectum and lower digestive tract. They are commonly used to check for diseases of the prostate, rectal bleeding, and changes in bowel habits. In this article, we will discuss what a digital rectal exam is, why you may need one, who performs them, how to prepare for one, and what to expect during and after the exam.
What is a Digital Rectal Exam?
A digital rectal exam is a physical examination of the rectum and lower digestive tract. During the exam, a doctor will insert a gloved, lubricated finger into the rectum to feel for any abnormalities. The doctor may also use a small instrument called a proctoscope to look inside the rectum.
Why Would I Need a Digital Rectal Exam?
Digital rectal exams are commonly used to check for diseases of the prostate, rectal bleeding, and changes in bowel habits. They can also be used to check for tumors, polyps, or other abnormalities in the rectum or lower digestive tract.
Who Performs a Digital Rectal Exam?
Digital rectal exams are typically performed by a doctor, nurse practitioner, or other healthcare professional.
At What Age Should I Start Getting Digital Rectal Exams?
The American Cancer Society recommends that men aged 45 and older should start getting digital rectal exams every year. People with a family history of prostate cancer should start getting digital rectal exams at a younger age.
How Often Should I Get a Digital Rectal Exam?
The American Cancer Society recommends that men aged 45 and older should get a digital rectal exam every year. People with a family history of prostate cancer should get a digital rectal exam every year starting at a younger age.
How Do I Prepare for a Digital Rectal Exam?
Before a digital rectal exam, you should empty your bowels and bladder. You should also avoid eating or drinking anything for at least two hours before the exam.
What Should I Expect During a Digital Rectal Exam?
During a digital rectal exam, you will be asked to lie on your side with your knees bent. The doctor will then insert a gloved, lubricated finger into your rectum to feel for any abnormalities. The doctor may also use a small instrument called a proctoscope to look inside the rectum.
For Men and People AMAB
For men and people assigned male at birth (AMAB), digital rectal exams are used to check for diseases of the prostate.
For Women and People AFAB
For women and people assigned female at birth (AFAB), digital rectal exams are used to check for rectal bleeding, changes in bowel habits, and other abnormalities in the rectum or lower digestive tract.
What Should I Expect After a Digital Rectal Exam?
After a digital rectal exam, you may experience some mild discomfort or cramping in your rectum. This should go away within a few hours.
When Should I Know the Results of a Digital Rectal Exam?
The results of a digital rectal exam are usually available within a few days. Your doctor will contact you with the results.
What Do the Results of a Digital Rectal Exam Mean?
The results of a digital rectal exam can indicate the presence of tumors, polyps, or other abnormalities in the rectum or lower digestive tract. Your doctor will discuss the results with you and recommend any further tests or treatments that may be necessary.
Are Digital Rectal Exams Performed During Colonoscopies?
Yes, digital rectal exams are typically performed during colonoscopies. During a colonoscopy, a doctor will use a thin, flexible tube with a camera on the end to look inside the rectum and lower digestive tract.
Conclusion
Digital rectal exams are a type of medical exam used to check for abnormalities in the rectum and lower digestive tract. They are commonly used to check for diseases of the prostate, rectal bleeding, and changes in bowel habits. If you are a man aged 45 or older, you should get a digital rectal exam every year. People with a family history of prostate cancer should start getting digital rectal exams at a younger age.
References
- American Cancer Society. (2020). Prostate Cancer Early Detection. Retrieved from https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/detection.html
- Mayo Clinic. (2020). Digital Rectal Exam. Retrieved from https://www.mayoclinic.org/tests-procedures/digital-rectal-exam/about/pac-20384717
- U.S. National Library of Medicine. (2020). Digital Rectal Exam. Retrieved from https://medlineplus.gov/ency/article/003890.htm
Keywords: digital rectal exam, prostate cancer, rectal bleeding, bowel habits, colonoscopy