Form preview

Get the free Proctogram examination

Get Form
Radiology DepartmentProctogram examination Information for patientsProctogram examination The Ray department has received a request for you to have a Pictogram examination. This leaflet tells you
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign proctogram examination

Edit
Edit your proctogram examination form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your proctogram examination form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit proctogram examination online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit proctogram examination. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to work with documents. Try it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out proctogram examination

Illustration

How to fill out a proctogram examination:

01
First, consult with your healthcare provider or radiologist to understand the purpose and process of the proctogram examination.
02
Prior to the examination, you may be required to follow specific dietary instructions or take medication to prepare your bowel.
03
On the day of the examination, you will be asked to change into a hospital gown and remove any jewelry or metal objects.
04
The radiologist will explain the different steps involved in the proctogram examination and answer any questions you may have.
05
During the examination, you will be asked to lie on your back on a special table, with your knees bent and your feet in stirrups.
06
A small tube or catheter will be inserted into your rectum, and a contrast agent (usually a liquid or gel) will be injected through the catheter to visualize the internal structures on imaging.
07
You may be asked to perform certain movements, such as straining or evacuating your bowels, while the radiologist takes X-ray images or uses fluoroscopy to observe the flow of contrast material and assess the function of your rectum and surrounding muscles.
08
The examination typically takes about 30 minutes, after which the catheter will be removed, and you'll be given an opportunity to clean up.
09
Once the proctogram examination is complete, the radiologist will analyze the images and prepare a report for your healthcare provider.

Who needs a proctogram examination:

01
Individuals who experience symptoms related to the rectum or pelvic floor muscles, such as chronic constipation, fecal incontinence, or rectal prolapse, may require a proctogram examination.
02
This examination can help diagnose various conditions, including rectocele (a bulging of the rectum towards the vagina), intussusception (one part of the bowel sliding into another), or rectal and anal muscle dysfunction.
03
Proctogram examinations can provide valuable information for healthcare providers to develop an appropriate treatment plan or determine the need for further investigations or interventions.
04
The necessity of a proctogram examination will be determined by a healthcare professional based on the individual's symptoms, medical history, and initial evaluations. It is important to discuss any concerns or questions with your healthcare provider to understand whether a proctogram examination is recommended for you.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
58 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Proctogram examination is a radiologic procedure used to evaluate the rectum and anal canal during defecation.
Individuals who are experiencing symptoms related to rectal or anal dysfunction may be required to undergo a proctogram examination.
A proctogram examination is performed by a radiologic technologist under the supervision of a radiologist. The patient will be asked to sit on a special toilet while X-ray images are taken during defecation.
The purpose of a proctogram examination is to assess the anatomy and function of the rectum and anal canal while the patient is defecating.
The proctogram examination will report findings related to rectal and anal anatomy, as well as any abnormalities or dysfunction observed during defecation.
The pdfFiller Gmail add-on lets you create, modify, fill out, and sign proctogram examination and other documents directly in your email. Click here to get pdfFiller for Gmail. Eliminate tedious procedures and handle papers and eSignatures easily.
pdfFiller has made it simple to fill out and eSign proctogram examination. The application has capabilities that allow you to modify and rearrange PDF content, add fillable fields, and eSign the document. Begin a free trial to discover all of the features of pdfFiller, the best document editing solution.
pdfFiller has an iOS app that lets you fill out documents on your phone. A subscription to the service means you can make an account or log in to one you already have. As soon as the registration process is done, upload your proctogram examination. You can now use pdfFiller's more advanced features, like adding fillable fields and eSigning documents, as well as accessing them from any device, no matter where you are in the world.
Fill out your proctogram examination online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.