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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.
Updated February 27, 2017. Hemorrhoids, also known as piles, are swollen and distended veins in the anus and lower rectum. About half of all people over age 50 have hemorrhoids. You are more likely to get hemorrhoids if you strain to have bowel movements or sit for prolonged periods of time on the toilet.