Physicians usually have a good idea if a person is suffering from hemorrhoids simply from a medical history and basic questioning. Hemorrhoids are simple to diagnose, so the physician’s primary concern is to rule out other, more severe causes. This will, at the least, require a digital rectal exam and, possibly, an anoscopy, in which the doctor will visually inspect the anus and anal canal with the help of a device consisting of a hollow tube and light source. These tests are usually enough, as hemorrhoids can readily be felt by a gloved finger or seen through the anoscopy.
Weaker topical steroids are utilized for thin- skinned and sensitive areas, especially areas under occlusion, such as the armpit, groin, buttock crease, breast folds. Weaker steroids are used on the face, eyelids, diaper area, perianal skin, and intertrigo of the groin or body folds. Moderate steroids are used for atopic dermatitis , nummular eczema , xerotic eczema , lichen sclerosis et atrophicus of the vulva , scabies (after scabiecide) and severe dermatitis . Strong steroids are used for psoriasis , lichen planus , discoid lupus , chapped feet, lichen simplex chronicus , severe poison ivy exposure, alopecia areata , nummular eczema, and severe atopic dermatitis in adults.