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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.
So if you want to get rid of hemorrhoids, you need to take 3 steps. These three steps can be done at the same time, especially if you have hemorrhoids that are itchy, painful, and are in need of attention.