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Understanding the Different Grades of Haemorrhoids

If you suffer with haemorrhoids, then understanding how the medical profession grades the different sizes and nature of your piles could be vital in how you approach the treatment of your specific condition.

The whole subject of piles can be awkward to discuss, so the more informed you are, the easier any discussion you might have will be.

Haemorrhoids are graded into four sizes which is a reflection of the severity of the particular haemorrhoid.

Broadly speaking, the more severe your haemorrhoid condition, the more they will affect your life in all sorts of ways from managing the irritation to avoiding certain activities due to the pain and inconvenience.

Your specific haemorrhoid grade, can only be diagnosed by a medical professional.


What are the different grades of haemorrhoids?

Grade 1 Haemorrhoids: These are small internal piles. A lot of people may not be aware of having these unless they experience blood spots on the toilet paper. They do not stick out of your bottom (prolapse).

Grade 2 Haemorrhoids: These are slightly larger internal piles. They may emerge out of your bottom when going to the toilet but will spontaneously return. This is known as being prolapsed. You may not be aware of the prolapse as it goes back instantly.

Grade 3 Haemorrhoids: These are slightly larger than grade 1 and 2 internal piles. They may emerge out of your bottom when going to the toilet but will NOT spontaneously return. These prolapsed haemorrhoids can be gently pushed back inside your anus.

Grade 4 Hemorrhoids: These are the largest type of internal piles. They are fully prolapsed and remain outside of your anus and cannot be reduced or pushed back in

Say goodbye to piles with eXroid® electrotherapy treatment for haemorrhoids in the comfort of your own home.

Electrotherapy is a non-invasive non-surgical treatment that can be used to treat internal piles and, for most people, enable you to get back to your life on the same day. Please get in touch to discuss your treatment options with a nurse specialist.

Internal Haemorrhoids

Internal Haemorrhoids

Internal haemorrhoids are actually swollen veins and their support tissues, situated in the lower part of your rectum. Sometimes the blood vessels and associated tissues become weak and stretch so thin that they bulge and become irritated

External Haemorrhoids

External Haemorrhoids

External haemorrhoids are different from internal haemorrhoids in two important ways: the first and most obvious difference is where they are located – external haemorrhoids, as the name suggests, are on the outside of your anus. Internal haemorrhoids are on the inside.

Prolapsed Haemorrhoids

Prolapsed Haemorrhoids

Internal haemorrhoids can “prolapse.” If they prolapse, they become swollen and protrude outside your rectum. They can be quite uncomfortable when this happens and are more likely to be prone to bleeding.

thrombosed haemorrhoids

Thrombosed Haemorrhoids

A thrombosed haemorrhoid, is the medical term for a haemorrhoid that has become swollen due to a small blood clot within the haemorrhoid. The word ‘thrombosis’ means clotting.

Lifestyle Advice

Suffering from haemorrhoids? Find advice on diet, exercise, hydration to help manage your symptoms.

Talk to a nurse advisor..

To discuss your symptoms and treatment options please call 0203 974 6950 or request a call back.

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We are no longer offering our home electrotherapy treatment service for haemorrhoids. 

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Want to understand your haemorrhoid symptoms better?

Answer some simple questions about the symptoms you are experiencing to get your haemorrhoid symptom score and receive advice on what it means and what to do next.