How to get a rectal?

I'm scheduled to go in for a physical. I'm a generally healthy male in 30s & my female doc doesn't regularly do rectals. What symptom could I describe that would prompt her to do one? I do not want to just ask for one. But I also do not want to say anything to make it seem like a serious emergency.

You could tell her a friend your age was recently diagnosed with prostate cancer and you are really worried about yourself, so you would like to have some peace of mind that everything is okay. Alternatively you could say you suspect you may have hemorrhoids with an occasional throbbing pain but never anything like blood that you have noticed.

A word of warning however. While either of these may get you a rectal exam, you may just as easily end up with a sore arm from the PSA blood test and a referral to some grouchy old male proctologist with fat fingers.

Be careful what you wish for, you may get more than you want. 😉

Just say that you've seen some blood on the tissue after you wipe.

Del

I'm sad to note that people are prepared to fake symptoms on a real medical visit. Have you no thought that you might be denying a person with a genuine condition the doctor's attention.

The proper place for fantasy and role play is in the play arena and there is surely no shortage of that here.

mannycodeille says he is "a generally healthy male". Well, be glad of that and stop being a drain on medical resources.

Furthermore - and this might appeal to your pocket book - if you complain of such serious issues as bleeding from the rectum it will be noted on your medical records whether a cause is found or not. What impact will that have on Life Insurance, Travel Insurance, Loan Protection Insurance, Critical Illness Insurance and a host of other things where you haven't disclosed this 'information'? Especially if a genuine claim is made. - You won't get a bean!

I echo BigK. Faking a medical condition to get you real medical tests in a real medical situations has a name.. its called munchausens.

I would certainly hope that someone would not fake symptoms simply for the pursuit of their fetish. However BigK, in the U.S. it is a user pay system and unlike the social systems such as the NHS or Canada, people are paying for it and I suggest they deserve their money's worth. To request something like a routine prostate check for a 30 year old male is really nothing more than a 30 year old female asking for a pap smear, it is the equivalent. It is easily justifiable and reasonable for any man who is looking after himself just as it is for any women. Some would say you are a fool if you didn't take advantage of the opportunity if it presented itself for your own health and well being. If everything checks out healthy and normal, which we hope is the case, you get a double bonus if you happen to have enjoyed it along the way. If something is wrong, you may have saved your own life by early diagnosis. I don't see it as anything less than a win-win situation.

True enough however that if you start faking things like blood on the toilet tissue then you should expect not only more attention than you really deserve, it may also have an impact on future issues such as life insurance. MAY... If you do not have any firm diagnosis it likely won't matter at all. To the best of my knowledge conditions such as hemorrhoids rank somewhere near chronic vaginal yeast infections for insurance actuaries, although they are notable conditions they do not cause early mortality nor are they a reason to deny coverage.

As I said earlier, be careful what you wish for...

I'm aware that the US has a 'user pay' system DrJ58 - However, mannycodielle doesn't give his country of residence and he could well be my next door neighbour! In that case in the UK, and in a number of other countries, treatment is free, theoretically, at the point of need. But we pay for it in our taxes whether we have medical need or not. At 73 years of age I still pay taxes on my State Retirement Pension- something else that I contributed to for over 50 years of work!

Our UK National Health Service is already overloaded with drunks and druggies, not to mention non contributing immigrants. We certainly don't need fantasy patients clogging the medical services.

So good luck to US residents but if your medical insurer gets to know you are having false symptoms investigated they won't I guess be too pleased - and don't forget that such things make YOUR'S and all others Medical Insurance premiums higher, or in the UK and elswhere, our taxes.

mannycodielle wasn't asking either for a routine prostate check - at 30 years of age it would hardly be necessary without actual symptoms. No, he wanted his female doctor to feel his asshole!

Not having a firm diagnosis won't impact on things like Life Insurance (and the other things I mention)! Really? - It would in the UK - as many UK people who suffer calamities in your country have found out to their cost! And I hazard that a US Insurer too would have some room to wriggle out of paying out. Failure to declare ANY reported medical condition, diagnosed or not, will invalidate an Insurance Contract. An Insurer will ask for your medical records.

I'm not hitting at you or anyone else in particular DrJ58 - Just raising some issues to consider!

As DrJ58 said be careful what you wish for you might get a referral to Colon-Rectal Surgeon.

Another angle to request for a DRE would be if you indicate to the doctor you are experiencing a change in BM patterns.

Of course BigK, no offense taken or implied. I recognize those social factors you describe. Here in Canada I too have paid into the system for life and taken very little back out because I look after myself. I see two categories of people, families who paid the same as a couple with no children yet had five kids under overprotective parents, and those who do nothing to look after themselves who have had both knees and both hips replaced twice by thirty five due to severe obesity, who drain our system. So I do agree, those who consume do annoy those of us who support the system. But that's the way it works, good or bad.

What we are talking about here is a routine health check and a justification to get something that may otherwise be overlooked. In my opinion, at 30 years old if a male is there for a complete physical and requests a prostate check, I would see that as no more frivolous use of the system than a female asking for a pap smear. Indeed if the physician is truly conducting a complete physical, they would do so as a matter of routine without being asked. If the resource is there and you have your pants down anyways, why wouldn't you take advantage of it is my question.

I would just tell her that you are concerned about colon and prostate cancer.

I had some pain in my testicles, which the dr indicated was epidymitis (not sure if I spelled that correctly). He had to do a prostate exam to rule out prostate problems.

Why not just go to a 'play' doctor or nurse?

Many of us are actually fully qualified medical professionals as well.

It's worth asking around.

I had some testicle swelling. The doc did a ultrasound and a deep prostate exam the day after with female nurse present during the session.

You could just contact me and I'd be happy to give you one 😃

I asked the doctor/boyfriend this exact thing just the other day. He sort of looked at me with the look of, "what do you want to know that for?" and "that's a stupid question."

I told him that this question often comes up here, not that I condone making things up when you go to the doctor, or search for a reason to take up the good doctors time for things that don't exist, but....his answer was simply this.

"If a patient of mine wants a rectal, all he/she has to do is ask. I will ask them if there is an issue or a concern, but most times I include it in their yearly physical. A good doctor should be willing to examine their entire patient. I really shouldn't be an issue."

So strait from the MD's mouth folks, if you want one, just ask.

I was in the room with her for the first rectal of her life.. I had told her that she should tell her Gyno that we've had anal sex and do anal play regularly and that she should just check her out.. Sure enough her gyno agreed and after the bi-manual, she stuck a finger up her butt.

For my internist, every male gets prostate and flexible sigmoidoscopy after age 35.

I also had my first rectal around 35. That is when I "discovered" my prostate and how good it could feel.

Thanks Doc.

Although i wouldnt mind having my female doc sticking her fingers up my bum, i think i would be quite embarrassed to ask. i've just turned 37 and it's never crossed my mind to ever ask. after reading what everyone else has said on the matter, it is right that you should only go to your gp for real issues, rather than for fetishes. like naughtynurse said, why dont you go to someone who is qualified like herself.

There is no doubt that women get rectals exams in much the same way as a man. A girl's first GYN exam may not include the rectal but by her 3rd exam she will surely have one and that's alot sooner than most men. In America a woman's exam takes place on the exam table with feet in the stirrups, lithotomy position.

I have specifically asked for one and have had the doctor say (1) you don't need one so no; (2) i don't do that but i can refer you to a doctor who can; (3) the blood test is much more accurate so we will do that and (4) no problem, bend over or roll over to your side.

Actualy, it is not that frivolous to want or ask for a digital rectal exam for a 30-year-old male. An older friend of mine went to a urologist for a transrectal ultrasound, and the doctor told him that the previous patient he was treating was 38 years old, and had 4th stage prostate cancer, so I would not feel silly asking for one. It doesn't take that much of the doctor's time.

I would assume that if you ask for a rectal/prostate exam, you will get one. Think about the doctor's liability if they refuse. What doctor would refuse such a request, knowing that if the patient ends up with some dreaded disease, they could be liable.

I have never asked, but have mentioned my gyno and GI problems and now always get one as a rule. I also get one any time my back problem sends me to the ER. It excites me in general. I would be terrified I guess though if they ever actually found a health problem. I have never had any barium enemas or scopes. I have had vaginal ultrasounds that excite me. I am up for a CT scan and GI referal though and am hoping I am ok, but also am excited about the exam.

It depends on the position. Done while on my side or back, no. Done while I am naked because of genital exam and positioned on hands and knees, yes.

I have had on my hands and knees stark naked as well.