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When you visit your doctor, you will probably be asked to describe your symptoms. The doctor will perform an examination to see whether your anus is inflamed, and whether enlarged hemorrhoids are present. The doctor will want to know if you have found blood in your stool, which may prompt a bowel endoscopy examination. The doctor will likely feel for anything unusual through a digital rectal examination. Remember that while this might be a little embarrassing and uncomfortable, hemorrhoid exams are usually painless.