Internal Hemorrhoids
These use the grading system from 1-4 or First to Fourth degree
- Grade 1: First Degree –These are relatively small up inside the anal canal and are more like bulges in the mucosal layer of the rectum. They can be felt on examination by a doctor.
- Grade 2: Second Degree – These are larger and will remain inside your rectum, occasionally protruding when a stool is passed but returning inside once you have finished evacuating your bowels.
- Grade 3: Third Degree – These begin inside the rectum but actually hang out and you may be able to feel these. They can be gently pushed back inside the anal canal with your fingers.
- Grade 4: Fourth Degree – These become large protrude outside the anal sphincter. They are not able to be pushed back inside. You will need to see your doctor about these as you will require treatment.
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