Piles can arise internally as well as externally. Internal hemorrhoids are deep inside rectum and may move undetected until they bleed as well as protrude, causing severe agony. Internal hemorrhoids are also known as prolapsed hemorrhoids and require prompt treatment to stop more severe complications. There exists a grading scale used to look for the severity of internal haemorrhoids. Grade one is minimal severe and is referred to as mild distention. Grade two is protrusion from the hemorrhoid during a colon movement that spontaneously reduces by itself. Grade three is a protrusion after a bowel movement that must be manually pushed back in. Grade four is an entirely prolapsed hemorrhoid that is not reduced and the inner lining from the rectum is also beginning prolapse.
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