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Patient Education

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn about general health issues that may not be related to Ear, Nose and Throat Disorders. Our providers may not see and/or treat all topics found herein

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: October 19, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.