Have you noticed any blood during defecation, on toilet paper, or in the toilet bowl?
Have you noticed any swelling or protrusion of nipples through the anus that bounces back spontaneously or manually?
Do you suffer from itching, irritation, and burning in the anal opening after defecating?
Do you experience discomfort after defecating and have the urge to defecate after finishing?
Did he notice any swelling or painful bulge in the anus, sometimes with bleeding?
Do you suffer from discomfort, itching, or burning in the anus after strenuous activity, prolonged standing, or prolonged sitting?