Do you know rectal diseases are surprisingly common and affect, men and women of all ages. Not all physicians are adequately trained to manage in a rectal disease, which in most cases does not require surgery. The treatment of most anal rectal disease is office-based. An accurate diagnosis is crucial for appropriate and effective treatment. Your doctor will take an adequate history and a physical exam that will include examining the anal canal with a gloved finger and look at the anal canal with an endoscope. These maneuvers will result in an accurate diagnosis in a majority of patients with anal, rectal complaints, such as bleeding pain or prolapse. In some cases, further tests are necessary, such as a colonoscopy, MRI, scan or anorectal manometry.