Guide for Aviation Medical ExaminersVersion 09/30/2026
Section 10
ITEM 39. Anus
2 pagesPages 242–243
- ABDOMEN AND VISCERA AND ANUS CONDITIONS
- All Classes
- (Updated 02/25/2026)
| DISEASE/CONDITION | EVALUATION DATA | DISPOSITION |
|---|---|---|
| Peptic Ulcer | See Peptic Ulcer Protocol | Requires FAA Decision |
CHECK EACH ITEM IN APPROPRIATE COLUMN Normal Abnormal
Anus (Not including digital examination.).
I. Code of Federal Regulations
All Classes: 14 CFR 67.113(a), 67.213(b)(c), and 67.313(b)(c)
(b) No other organic, functional, or structural disease, defect, or limitation that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds
Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
No medication or other treatment that the Federal Air Surgeon, based on the case history and appropriate, qualified medical judgment relating to the medication or other treatment involved, finds -
Makes the person unable to safely perform the duties or exercise the privileges of the airman certificate applied for or held; or
May reasonably be expected, for the maximum duration of the airman medical certificate applied for or held, to make the person unable to perform those duties or exercise those privileges.
II. Examination Techniques (Updated 06/26/2024)
Anus exam (visual anal or digital rectal exam [DRE]) is not required unless indicated by past medical history (PMH) or symptoms. It may be performed at the discretion of the examiner and applicant.
If PMH or symptoms do not warrant examination of these items, the AME should mark “normal” in AMCS and annotate in Item 60 that the exam was not indicated and not performed.
If PMH or symptoms warrant examination of these items, the AME should mark “abnormal” in AMCS and annotate in Item 60 the reason exam was performed and any findings.