Types of Haemorrhoids (Piles)
Majority of the people are confused with the types of haemorrhoids (also known as piles) we have: internal, external, Grade 1, Grade 2, Grade 3 and Grade 4.
The easiest way to differentiate haemorrhoids is to divide them into internal or external haemorrhoids. 𝐈𝐧𝐭𝐞𝐫𝐧𝐚𝐥 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬 are formed above the dentate line (the line separating rectum and anal canal); those formed below the dentate line is known as 𝐞𝐱𝐭𝐞𝐫𝐧𝐚𝐥 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬. Haemorrhoids that can be seen externally does not necessarily is external haemorrhoids as each individual has different position of the dentate line.
Generally, haemorrhoids are further divided into 4 grades depends on its severity. Basically, we are unable to see 𝐆𝐫𝐚𝐝𝐞 𝟏 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐡𝐢𝐝𝐬, it does not come out from the anus. Occasionally, we might notice there is blood on the toilet paper or toilet bowl, and the bleeding stops after bowel movement.
𝐆𝐫𝐚𝐝𝐞 𝟐 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬 will protrude out from the anus during bowel movement, and will reduce back spontaneously after that. Whilst, 𝐆𝐫𝐚𝐝𝐞 𝟑 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬 is almost same as Grade 2. The haemorrhoids will protrude out during bowel movements, but require manual pushing (using fingers) the haemorrhoids back into the anal canal.
𝐆𝐫𝐚𝐝𝐞 𝟒 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬 prolapse all the time and is irreducible even though push manually. This is the different types of haemorrhoids broadly speaking.
Sometimes, you may come across of the term “𝐜𝐨𝐦𝐛𝐢𝐧𝐞𝐝 𝐢𝐧𝐭𝐞𝐫𝐧𝐚𝐥 𝐚𝐧𝐝 𝐞𝐱𝐭𝐞𝐫𝐧𝐚𝐥 𝐡𝐚𝐞𝐦𝐨𝐫𝐫𝐡𝐨𝐢𝐝𝐬” this condition is quite common, it is when the haemorrhoids growth are a mixture of both internal and external type, and prolapsed out from the anal canal like Grade 3.
Contact us if you are still uncertain about the types of haemorrhoids.