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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.
Hemorrhoids are a painful condition arising from excessive pressure or straining of the blood vessels in the lower rectal and anal region. The excessive pressure leads to the inflammation of the ano-rectal veins. Though it is not a life-threatening condition, hemorrhoids are painful and distressing to the patients.