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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.
Bleeding Hemorrhoids and its Treatment. Commonly known as piles, hemorrhoids is to a condition in which the veins around the lower rectum and the anal canal swell. While enlarged veins inside the anal canal are called internal hemorrhoids, visible fleshy lumps protruding around the anus are called external hemorrhoid.