We spoke with Dr. Lauren R. Wilson, a specialist in colorectal surgery and assistant professor of surgery at Dartmouth-Hitchcock Medical Center for her input."If you're having any kind of issue with your bottom, go see your primary care doctor and ask them to take a look. Rectal exams used to be part of an annual physical, but a lot of doctors just don't do them anymore. You need to be open to having an exam and ask them about it."