Hemorrhoid Grading

1st Degree HemorrhoidsSecond degree hemorrhoidsThird degree hemorrhoidsFourth degree hemorrhoids

 1st Degree          2nd Degree       3rd Degree          4th Degree

Hemorrhoids (Piles) are a common medical condition among humans. They occur when veins swell in the rectum (internal hemorrhoids) or around the anus (external hemorrhoids). While it may not be a serious health issue, they cause pain or discomfort to the victims. 

No matter what grade of hemorrhoids you are dealing with, this method I can truly recommend works with all four grades of hemorrhoids. If you suffer from hemorrhoids check this groundbreaking method and how it can help you.

Make sure to check out the new and interesting article “Are Hemorrhoids Contagious” here!

Click below for a longer explanation of the four grades!

Grade I Hemorrhoids

Grade II Hemorrhoids

Grade III Hemorrhoids

Grade IV Hemorrhoids

Hemorrhoid grading, hemorrhoids are classified into four grades or degrees based on their extent of prolapse. The hemorrhoid grading system enables you to identify the severity of the condition and recommend a suitable treatment option. Under you will find the explanations to what grade hemorrhoids you have and how severe it is and how to treat them.

Find out what grade hemorrhoids you have!

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What is a Grade I Hemorrhoid?

This is the least severe type of hemorrhoid. At this stage, the swellings protrude into the lumen of the anal canal but do not prolapse outside the anus. You may not feel any pain, but blood may be visible in the feces or tissue paper. However, a rectal examination via colonoscopy is required to rule out other possible causes of rectal bleeding.

How do you treat a Grade I Hemorrhoid?

Treatment of grade I hemorrhoids is done symptomatically. Taking warm sitz baths two or three times a day, and lifestyle modifications like eating high-fiber food, hydration, and avoidance of spicy foods will prevent worsening the condition. In most cases, grade I hemorrhoids heal after several days, even without medication. To hasten the healing, over-the-counter hemorrhoid creams may be helpful.

 

What is a Grade II Hemorrhoid?

Grade II hemorrhoids are vein swellings that protrude past the anal verge with bowel movement or passage of the flatus. The swellings reduce spontaneously after defecation or following strenuous activity. In fact, you may not notice the swellings until you experience bleeding or feel the pain when constipated or having diarrhea. Grade II hemorrhoids is not a severe condition because, in most cases, it corrects themselves without any serious medical intervention.

How do you treat a Grade II Hemorrhoid?

Dietary considerations such as intake of high-fiber foods and adequate hydration can help eliminate grade II hemorrhoids naturally. Also, avoid spicy diets that might cause itchiness and prompt you to scratch the affected area causing more harm. Stool softeners and gels can be used to reduce the friction caused by feces when passing through the rectum, which prevents further damage to the veins.

 

What is a Grade III Hemorrhoid?

Grade III hemorrhoids extend out of the anus during defecation or when straining. You may have to push the swollen veins manually back into the rectum as they fail to return naturally. The occasional pushing back of the enlarged veins can lead to further damage to the blood vessels. Common symptoms of grade III hemorrhoids include extreme itching and pain.

How do you treat a Grade III Hemorrhoid?

Like grade I and II hemorrhoids, grade III hemorrhoids are treated using non-surgical procedures. It may involve;

  • Injection of the hemorrhoid vein to harden it
  • Use of rubber bands to cut off blood supply to the tissue making it shrivel
  • Other practices that will make the mucosa shrivel and die
  • Proper diet and sanitation around the anus to prevent further infection

Although Grade III Hemorrhoid is not a medical emergency, it’s advisable to consult a physician once you experience symptoms instead of waiting for the condition to worsen or possibly become grade IV hemorrhoid.

 

What is a Grade IV Hemorrhoid?

Grade IV hemorrhoids are prolapsed hemorrhoids that cannot be manually pushed back into the rectum using your fingers. They are sometimes thrombosed and carry a significant portion of the rectum lining through the anus. The blood clots are associated with pain or itchiness, which makes it difficult to maintain hygiene. You should consult a doctor immediately if you experience such symptoms.

How do you treat a Grade IV Hemorrhoid?

It is easy to diagnose grade IV hemorrhoids because they are quite visible from outside the anus. It is recommended to take foods rich in roughages to reduce the likelihood of constipation, which could further damage the blood vessels. A thrombosed hemorrhoid is treated by removing the blood clots that may interfere with blood circulation within the rectal and anal tissues. Sometimes a skin tag remains after healing, which requires surgical removal.

 

The Bottom Line 

Hemorrhoids are normal tissue that becomes a point of concern when they swell, causing itching, pain, and/or bleeding. A variety of therapies for hemorrhoids exists, which include home-based remedies or surgical treatment. However, the initial treatment for hemorrhoids usually involves dietary and lifestyle modifications which will all be explained in this video presentation. This 5 step-method will cure all of the four grades of hemorrhoids, so click to get well!

FAQs Hemorrhoid Grading

What is a grade 3 or 4 hemorrhoid?

Hemorrhoids are a common ailment that occurs inside the anus. They cause bright red bleeding and prolapse of anal tissue. Hemorrhoids fall into one of four categories – grade 1, grade 2, and grade 3. A grade 3 hemorrhoid has to be manually pushed back inside the anus, while a level 4 hemorrhoid relapses after manual pushback.

The difference between grade 3 and grade 4 hemorrhoids is the way in which they are diagnosed. While grade 3 hemorrhoids are painful, they can also be external, which is why they can be diagnosed on the anus. External hemorrhoids usually occur on the outer portion of the anus, where they protrude outward. These hemorrhoids often bleed when passing stool. External hemorrhoids are often difficult to identify by themselves, but a doctor can do a digital rectal exam to rule them out. It involves checking the anus with a lubricated finger and looking for lumps, blood, or sensitivity.

There are noninvasive treatment options for both grade 1 and grade 4 hemorrhoids. While some modalities require surgery, 80 to 99 percent of people can find relief from diet and lifestyle changes. Over-the-counter medications can also be helpful. Patients can also take a laxative to ease the pain. However, the laxative should only be used as directed by a doctor.

Can Grade 4 hemorrhoids be treated?

Hemorrhoids can be graded according to the severity of their pain. Grade 1 hemorrhoids do not stick out of the anus and can be pushed back in with manual pressure. Grade 2 hemorrhoids can be manually pushed back in, but grade 3 hemorrhoids do not reappear. A patient with grade 4 hemorrhoids typically needs surgical treatment to correct the problem.

One option is sclerotherapy, which is often performed on smaller hemorrhoids. It involves injecting liquid drugs with a proctoscope that has a light on it to view the anus membranes. The resulting hemorrhoids shrink and fall off. This procedure may need several sessions, and you’ll likely need to take time off work afterward.

Hemorrhoids can become worse without treatment. Left untreated, they can progress to Grade 3 or Grade 4, causing severe pain and swelling. They can also prolapse into the anus, harboring mucus and stool particles. These hemorrhoids may also be itchy and uncomfortable. To reduce the pain and discomfort, you should seek medical help as soon as possible. You can also try over-the-counter creams to soothe the affected area.

Do grade 4 hemorrhoids need surgery?

Internal or grade 4 hemorrhoids are the most painful and most difficult to treat. Internal hemorrhoids prolapse and fill the anoscope, a two-inch hollow tube with a light and a slit at the end. They can be painful and may be strangulated, causing extreme pain. Surgery may be required to treat these hemorrhoids.

Patients who decide to have hemorrhoid surgery are usually given general anesthesia and can go home the same day. Following the procedure, patients may experience some pain and must take pain relievers. A few days later, they may return to work. Although a hemorrhoidectomy is not necessary for every case, it is recommended for severe hemorrhoids or recurrent bleeding.

Nonsurgical treatment for internal hemorrhoids includes rubber band ligation. This procedure reduces hemorrhoids without a surgical incision. Patients generally experience less pain and are able to go back to work soon afterward. However, there are risks associated with this treatment, such as abscesses, bleeding, and thrombosis. In addition, the treatment may not be effective in all cases.

Is Stage 4 hemorrhoids serious?

Grade 4 hemorrhoids are those that sit outside the anus and re-prolapse even after they’ve been pushed back in. All grades of hemorrhoids can have external skin tags, but higher grades tend to have more tagging. Symptoms include pain, anal itching, and bleeding. Your doctor will recommend treatment based on the severity and location of your hemorrhoids.

When it comes to getting a diagnosis for your condition, you should ask yourself: what are the possible causes of my hemorrhoids? Many factors contribute to hemorrhoids, including constipation, pregnancy, and aging. If you’re pregnant, you’re at an increased risk of developing hemorrhoids because your growing fetus places additional pressure on the blood vessels in your anus. Additionally, chronic straining during bowel movements can cause your hemorrhoids to prolapse into your anus, which can lead to uncontrolled bleeding.

Although hemorrhoids don’t cause cancer, they can turn into a more serious condition if untreated. Bleeding during bowel movements is an early warning sign that you have hemorrhoids. However, they don’t turn into cancer – although they can look similar. Inexperienced doctors are prone to misdiagnose hemorrhoids as cancer.

Can Stage 3 hemorrhoids be cured without surgery?

While hemorrhoids aren’t cancerous, they can be very painful and even cause bleeding. Although hemorrhoids can be cured without surgery, nonsurgical treatment isn’t ideal. In fact, nonsurgical treatment usually reoccurs 50% to 50% of the time. However, surgical treatment can reduce the risk to less than 5%. A surgical procedure is often necessary for severe hemorrhoids.

The symptoms of stage three hemorrhoids vary. External hemorrhoids may extend out of the anus after a bowel movement, but internally, they may be pushed back in with manual pressure. In either case, there are a variety of treatments available to relieve the pain and discomfort. While surgical treatment is the preferred option, natural home remedies are a good first line of defense against hemorrhoids.

While surgical treatment has some disadvantages, it is a popular option for asymptomatic hemorrhoids. The most common surgical procedure is rubber band ligation. This procedure can be performed in a clinic setting or during a colonoscopy. It is a quick, low-risk procedure with few complications. However, if a hemorrhoid bleeds profusely, the bleeding may require further treatment.

Can Grade 2 piles be cured without surgery?

The first step towards a non-surgical cure for piles is finding a solution for the pain. Thankfully, there are many non-invasive alternatives. One such treatment is eXroid(r) electrotherapy, which is extremely safe and effective. The procedure works by applying a high-frequency electrical current to the pile, which helps relieve mild to moderate symptoms and reduces the size of the hemorrhoids.

Although there is no known cure for hemorrhoids, many people experience pain and bleeding. The symptoms of this condition can range from minor to severe, including fecal or mucosal soiling and itching. A physician can diagnose hemorrhoids by examining the anus and anal canal. Treatments include suppositories and creams that can help reduce the pain. However, these treatments rarely provide long-term relief.

Some people have a genetic predisposition to hemorrhoids. People with hemorrhoids have a greater risk of developing them. Additionally, age plays a role, as people get older, and their blood vessel walls become thinner. While the majority of people suffer from hemorrhoids in their later life, some hemorrhoids last for days or weeks. In rare cases, they may require medical care.

Can Grade 2 piles be cured without surgery?

When home remedies and over-the-counter medicines fail to treat the condition, it may be necessary to undergo surgery. However, this procedure should be done only by a qualified surgeon as any complications may arise. A relatively new and effective method of treating piles, laser treatment, involves the use of a laser, which can cure any grade of hemorrhoid. Laser treatment is safe, minimally invasive, and involves the use of a laser to target the pile. Laser treatment does not involve radiation and works by starting denaturation, coagulation, and uncoupling the bonds of protein.

After assessing the severity of hemorrhoid, a surgeon may recommend the use of a hemorrhoid ligation technique called DG-HAL. This procedure involves cutting off the blood supply to the piles, which usually falls off in a week. It may also be beneficial to undergo sclerotherapy, in which the hemorrhoid is burned in a sterile field to destroy hemorrhoid. However, if this treatment fails to resolve the condition, hemorrhoid must be removed.

Chris Sjolind

I know what it's like to have hemorrhoids, that's why I am dedicated to helping others with this site.

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