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 ofNovember 7, 2018

Author: Healthwise Staff
Anne C. Poinier, MD - Internal Medicine
Brian O'Brien, MD, FRCPC - Internal Medicine
Adam Husney, MD - Family Medicine
Kenneth Bark, MD - General Surgery, Colon and Rectal Surgery

Is it an emergency?

If you or someone in your care has chest pains, difficulty breathing, or severe bleeding, it could be a life-threatening emergency. Call 9-1-1 or the local emergency number immediately.
If you are concerned about a possible poisoning or exposure to a toxic substance, call Poison Control now at 1-800-567-8911.

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