Anorectal assessments include inspection, palpation and anoscopic examination. The patient typically lies sideway on his or her left side, which is allows comfort for the patient as well as good visualization and access for the examiner. The doctor often finds the external hemorrhoids, anal polyp, and anal fissure or fitstula by simple inpection. The digital exam is to palpate any suspicious mass lesion in the anorectal canal. Anoscopy is to confirm the diagnosis of hemorrhoids, anal fissure and other anorectal diseases.