Understanding the Grades of Haemorrhoids

If you suffer with hemorrhoids, then understanding how the medical profession grades the different sizes and nature of your piles could be vital in how you approach the treatment of your specific condition.

The whole subject of piles can be awkward to discuss, so the more informed you are, the easier any discussion you might have will be.

Hemorrhoids are graded into four sizes which is a reflection of the severity of the particular hemorrhoid.

Broadly speaking, the more severe your hemorrhoid condition, the more they will affect your life in all sorts of ways from managing the irritation to avoiding certain activities due to the pain and inconvenience.

Your specific hemorrhoid grade, can only be diagnosed by a medical professional.


What are the different grades of haemorrhoids?

Grade 1 Haemorrhoids: These are small internal piles. A lot of people may not be aware of having these unless they experience blood spots on the toilet paper. They do not stick out of your bottom (prolapse).

Grade 2 Haemorrhoids: These are slightly larger internal piles. They may emerge out of your bottom when going to the toilet but will spontaneously return. This is known as being prolapsed. You may not be aware of the prolapse as it goes back instantly.

Grade 3 Haemorrhoids: These are slightly larger than grade 1 and 2 internal piles. They may emerge out of your bottom when going to the toilet but will NOT spontaneously return. These prolapsed hemorrhoids can be gently pushed back inside your anus.

Grade 4 Hemorrhoids: These are the largest type of internal piles. They are fully prolapsed and remain outside of your anus and cannot be reduced or pushed back in

electrotherapy treatment

Electrotherapy is a non-invasive non-surgical treatment that can be used to treat internal piles and, for most people, enable you to get back to your life on the same day. Please get in touch to discuss your treatment options with a specialist nurse.

No preparation (e.g. no enema)

No anaesthesia

Treatment is carried out in the comfort of your own home

Non-invasive — no cutting or needles

No need to travel to clinic or hospital — our nurses come to you.  

Each treatment takes 10-30 minutes

90% of patients who shared their experience resumed normal activities the same day

Many of our patients are cleared after one treatment. 

Internal Haemorrhoids

Internal haemorrhoids

Internal haemorrhoids are actually swollen veins and their support tissues, situated in the lower part of your rectum. Sometimes the blood vessels and associated tissues become weak and stretch so thin that they bulge and become irritated

External Haemorrhoids

External haemorrhoids

External haemorrhoids are different from internal haemorrhoids in two important ways: the first and most obvious difference is where they are located – external haemorrhoids, as the name suggests, are on the outside of your anus. Internal haemorrhoids are on the inside.

Prolapsed Haemorrhoids

Prolapsed haemorrhoids

Internal haemorrhoids can “prolapse.” If they prolapse, they become swollen and protrude outside your rectum. They can be quite uncomfortable when this happens and are more likely to be prone to bleeding.

thrombosed haemorrhoids

Thrombosed haemorrhoids

A thrombosed haemorrhoid, is the medical term for a haemorrhoid that has become swollen due to a small blood clot within the haemorrhoid. The word ‘thrombosis’ means clotting.

Speak with our nursing team...

to discuss your symptoms and treatment options

Our nurses are available Monday-Friday 9am - 5pm

Treatment for Haemorrhoids, Sarah Diamond

lifestyle ADvice

Suffering with haemorrhoids? Need some advice? View our lifestyle booklet for advice on diet, exercise, hydration to help manage your symptoms.