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First degree: the hemorrhoids remain inside at all times. Second degree: the hemorrhoids extend out of the rectum during a bowel movement but return on their own. Third degree: the hemorrhoids extend out during a bowel movement but can be pushed back inside. Fourth degree: the hemorrhoid is always outside.
The first class is the least severe, concerning a hemorrhage equal to or lesser than 15 percent of the bodyâs total blood volume. For reference, when a person donates blood, about eight to 10 percent of the bodyâs blood is removed. There are generally no symptoms of blood loss at this point, though some may feel slightly faint. A Class 2 hemorrhage is a loss of 15 to 30 percent of blood volume.