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Grade 3 hemorrhoids: every time you go to the toilet or walk a lot, squat, do heavy work, the hemorrhoids prolapse. At this time, you have to lie down for a while before the hemorrhoids recede or gently push in with your hands.|Grade 4 hemorrhoids: hemorrhoids are almost always located outside the anal canal.|Blood in the stool is a common symptom and a reason for patients to see a doctor. Blood is usually bright red, dripping or streaking at the end of the stool like “chicken discharge”, sometimes bleeding on light impact, prolonged bleeding and often the cause of anemia in hemorrhoids.|Prolapsed hemorrhoids out of the anal canal when defecating, walking or squatting for a long time, first retracts on its own, then pushes up and finally prolapses frequently.|Itching or irritation in the anal area due to mucus secretion from the mucosa of the anal canal.|Pain or discomfort, which ranges from no pain, little pain to very painful anal fissures, obstruction, or strangulation.|Swelling around the anus.
