
Understanding the different grades of hemorrhoids and their characteristics for appropriate treatment planning.
Internal hemorrhoids that bleed but do not prolapse. Usually painless and may not require treatment beyond lifestyle changes.
Hemorrhoids that prolapse during straining but return spontaneously. May require minimal intervention like rubber band ligation.
Hemorrhoids that prolapse during straining and require manual reduction. Often painful and may need surgical treatment.
Hemorrhoids that are permanently prolapsed and cannot be reduced. Require immediate surgical intervention.