Stages Of Internal Hemorrhoids

Internal Hemorrhoids

Hemorrhoids are a condition that no one likes to talk about but everyone suffering with them wants to get rid of. 

It is estimated that over half the population will experience hemorrhoids at some point in their lives. 

There are two types of hemorrhoids internal and external. 

External hemorrhoids usually cause more irritation but if internal hemorrhoids progress they can become quite painful.  

In this article we will discuss the four stages of internal hemorrhoids.

Internal hemorrhoids are classified in four grades or stages. 


Grade One


Grade one is when the hemorrhoids are within the anal canal and have not yet protruded through the anal opening. 

At this stage, many people are still unaware they have hemorrhoids.  They can be present for years without any symptoms at all.


Grade Two


When hemorrhoids reach grade two bleeding from the anus may occur. 

The blood will typically be bright red in color and be mixed in with stool, in the toilet water or on the toilet paper after wiping. 

At this stage it is also common for the hemorrhoids to prolapse from the anus when having a bowel movement.  However they will recede back in the anal canal on their own.


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Grade Three


When internal hemorrhoids get to grade three, you may notice heavier bleeding. 

Typically at this stage the hemorrhoids will protrude through the anus after a bowel movement but will not retract on their own. 

You will have to gently push them back up into the anal canal. 

Stage three can be extremely painful.  This is the time when visiting a physician for pain relief is recommended.


Grade Four


Grade four is the last and worst stage for internal hemorrhoids

At this point there is extreme pain and bleeding and the hemorrhoids will not stay in the anal cavity.  Medical attention is no longer an option but a must at this point. 

When internal hemorrhoids reach stage four surgery is almost always a necessity.

To prevent hemorrhoids from progressing you should begin treatment as soon as you know they exist. 

In the beginning stages there are many at home and over the counter remedies available to manage hemorrhoids. 

However if you ignore them and allow them to progress in severity, the treatments become more expensive and more painful. 

Eating a diet high in fiber and getting regular exercise will help to keep hemorrhoids under control. 

No one wants to get hemorrhoids, but if you do find that you have them it is always best to be proactive rather than reactive. 

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