Internal Hemorrhoid Grades
Above dentate line, painless ...
39
Description

Internal Hemorrhoid Grades
Above dentate line, painless dripping and bright red, on wiping tissue or in toilet)
Grade 1 - No prolapse, just prominent blood vessels
Grade 2 - Prolapse upon bearing down, but spontaneous reduction
Grade 3 - Prolapse upon bearing down requiring manual reduction
Grade 4 - Prolapse with inability to be manually reduced

Treatment: Fluid & Fiber!
 - Grade 1-2 -Medical (Phlebotonics)
 - Grade 2-3 -Ligation (RBL)
 - Grade 3 (unresponsive) & 4 -Surgery

Virgil Lo, MD @pinoygastro

#Internal #Hemorrhoid #Grades #grading #classification #gastroenterology
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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