Fast Five Quiz: Hemorrhoids Practice Essentials

B.S. Anand, MD


April 18, 2022

The guidelines for the management of hemorrhoids from the ASCRS classify internal hemorrhoids into four grades for the purposes of treatment recommendations:

  • Grade I: prominent hemorrhoidal vessels, no prolapse

  • Grade II: hemorrhoids that prolapse with Valsalva maneuver and spontaneously reduce

  • Grade III: hemorrhoids that prolapse with Valsalva maneuver and require manual reduction

  • Grade IV: chronically prolapsed hemorrhoids; manual reduction ineffective

Learn more about grading hemorrhoids.


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