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Internal Hemorrhoids: First- to Fourth-Degree. 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-degreehemorrhoid 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.
Hemorrhoids refer to enlarged vascular structures of the lower part of the rectum and anus, which in their healthy state help in temporary storage and elimination of the stools. There are two types of Hemorrhoids â internal Hemorrhoids and external Hemorrhoids â both of which present with distinctive symptoms. Though the exact cause of this condition varies from person to person, it is essentially thought to be due to an increased pressure in the lower rectum.