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 Reviewer Anne C. Poinier, MD - Internal Medicine

Adam Husney, MD - Family Medicine

Specialist Medical Reviewer Kenneth Bark, MD - General Surgery, Colon and Rectal Surgery

Current as ofNovember 20, 2015

Current as of: November 20, 2015

Author: Healthwise Staff

Medical Review: Anne C. Poinier, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Kenneth Bark, MD - General Surgery, Colon and Rectal Surgery