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Internal Hemorrhoids: First- to Fourth-Degree


Picture of a first-degree internal hemorrhoid

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

Picture of a second-degree internal hemorrhoid

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

Picture of third- or fourth-degree hemorrhoid

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.

ByHealthwise Staff
Primary Medical ReviewerAnne C. Poinier, MD - Internal Medicine
Specialist Medical ReviewerKenneth Bark, MD - Surgery, Colon and Rectal
Last RevisedMarch 16, 2012

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