Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus. They can cause discomfort, itching, and bleeding. Understanding the different grades of hemorrhoids is crucial for effective treatment and management. This guide will help you comprehend hemorrhoid grades and symptoms of hemorrhoids, making it easier to recognize and address them.

What Are Hemorrhoids?

Hemorrhoids are classified into two types: internal and external. Internal hemorrhoids occur inside the rectum, while external hemorrhoids develop under the skin around the anus. Both types can vary in severity, leading to the creation of a grading system that helps healthcare providers determine the appropriate treatment.


Hemorrhoid Grades

Hemorrhoids are categorized into four grades based on their size, prolapse (extent of protrusion outside the anal canal), and symptoms.


Grade I Hemorrhoids
  • Description: These are small swellings that develop on the inside lining of the anus. They are not visible outside the anus and do not prolapse.
  • Symptoms: Grade I hemorrhoids may cause occasional bleeding, especially during bowel movements. There is usually no pain associated with them.
  • Treatment: Increasing dietary fiber intake, drinking plenty of fluids, and using over-the-counter topical treatments can often manage symptoms. In some cases, medical treatments like rubber band ligation may be recommended.


Grade II Hemorrhoids
  • Description: Grade II hemorrhoids are larger than Grade I and may prolapse or protrude outside the anus during bowel movements but retract on their own.
  • Symptoms: These hemorrhoids can cause discomfort, itching, and bleeding. The prolapse is temporary and resolves without manual intervention.
  • Treatment: Lifestyle modifications, including a high-fiber diet and regular exercise, are often effective. Medical procedures such as rubber band ligation or sclerotherapy may be used if symptoms persist.


Grade III Hemorrhoids
  • Description: Grade III hemorrhoids prolapse during bowel movements or physical activity and do not retract on their own. They require manual pushing back into the anus.
  • Symptoms: Pain, itching, and bleeding are common. The need to manually reduce the hemorrhoids can cause significant discomfort.
  • Treatment: In addition to lifestyle changes, medical interventions like rubber band ligation, sclerotherapy, or infrared coagulation may be necessary. In severe cases, surgical options such as hemorrhoidectomy or stapled hemorrhoidopexy might be considered.


Grade IV Hemorrhoids
  • Description: Grade IV hemorrhoids are permanently prolapsed and cannot be pushed back inside. They remain outside the anus and can cause significant discomfort and complications.
  • Symptoms: These hemorrhoids are often painful, cause continuous bleeding, and may lead to thrombosis (blood clot formation) or ulceration.
  • Treatment: Surgical intervention is usually required for Grade IV hemorrhoids. Procedures like hemorrhoidectomy or stapled hemorrhoidopexy are commonly performed to remove or reposition the hemorrhoids.


Hemorrhoids. Best Doctor for piles in Kolkata. Best Diagnostic Centre in Kolkata. USG Test Near Me. Piles. Colonoscopy near me.


Preventive Measures

While hemorrhoids can be uncomfortable and sometimes painful, there are preventive measures that can reduce the risk of developing them:

  • Diet: Eat a high-fiber diet with plenty of fruits, vegetables, and whole grains. This helps soften the stool and reduce straining during bowel movements.
  • Hydration: Drink plenty of water to maintain hydration and prevent constipation.
  • Exercise: Regular physical activity can help improve digestion and reduce the likelihood of hemorrhoids.
  • Good Bathroom Habits: Avoid straining during bowel movements and do not sit on the toilet for extended periods. Respond promptly to the urge to have a bowel movement.


Understanding the different hemorrhoid grades is essential for recognizing symptoms and seeking appropriate treatment. While lifestyle changes and over-the-counter treatments can manage early-stage hemorrhoids, more advanced cases may require medical or surgical interventions. If you experience persistent symptoms or severe discomfort, consult a healthcare professional for an accurate diagnosis and tailored treatment plan.

By maintaining a healthy lifestyle and being mindful of preventive measures, you can reduce the risk of hemorrhoids and improve your overall well-being.


To consult a Gastroenterologist at Sparsh Diagnostic Centre, call our helpline number 9830117733.





No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Sparsh Doctor List. Best Diagnostic Centre in Kolkata.



Leave a Reply

Your email address will not be published. Required fields are marked *

This field is required.

This field is required.