Hello. I've had minor amounts of blood on toilet paper after going to the toilet for many years now. Used to suffer from fissures but that stopped, again probably years ago but not entirely sure on the timescale. So I used to put it down to the fissures, but after I noticed they had seemed to have stopped I still had the issue.

Went to the doctor awhile ago and he had a look, but didn't feel around. He said probably internal hemorrhoids. I'm wondering, should he have felt around/inside? Is that always required?