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Internal Hemorrhoids: First- to Fourth-Degree

Picture of a first-degree internal hemorrhoid
Picture of a second-degree internal hemorrhoid

A first-degree internal hemorrhoid bulges into the anal canal during bowel movements.

A second-degree internal hemorrhoid bulges from the anus during bowel movements, then goes back inside by itself.

A third-degree hemorrhoid bulges from the anus during bowel movements and must be pushed back in with a finger. A fourth-degree hemorrhoid protrudes from the anus all the time.

Current as of: August 12, 2019

Author: Healthwise Staff
Medical Review:
Anne C. Poinier MD - Internal Medicine
Adam Husney MD - Family Medicine
Kenneth Bark MD - General Surgery, Colon and Rectal Surgery

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