Positioning. Multiple positions may be used to accomplish a digital rectal examination. The easiest for the examiner is to have the patient tuck the knees up to the chest, either in the dorsal lithotomy position or the lateral recumbent position.
Recommend that she slowly stops using laxatives. Taking her straight off them while she’s had longterm usage can cause bowel obstructions and dietary issues. Probably see her again in a couple weeks and come up with a healthy diet/exercise plan and stick to it.