Surgical Category: Surgical

The most severe type, Grade 4 hemorrhoids cause discharge and bleeding. They can also lead to tissue damage.

Grade 1 hemorrhoids might bleed, but they remain internal.

Grade 2 hemorrhoids may begin to extend out of the anus (also known as prolapse).

Prolapse is possible if there is straining. Typically, Grade 3 hemorrhoids result in discomfort and bleeding.