Hemorrhoid No More PDF / Guide Jessica Wright's Book Free Download | Page 16

17 External hemorrhoids usually do not hurt, but can cause some bleeding, itching and even a bit of discharge. On occasion, a blood clot can develop within the vein, which feels like a hard marble in and around the anus. This is caused a thrombosed hemorrhoid and can be extremely painful. Depending on their severity, a thrombosed hemorrhoid may need to be removed surgically. Within these two hemorrhoidal groups are several classifications or grades of severity for hemorrhoids. They include: • G r a d e O n e : this is the least painful and problematic of all hemorrhoid grades. Symptoms include a slight enlargement of the hemorrhoidal veins, with the possibility of some slight bleeding. • G r a d e T w o : during this stage of hemorrhoidal growth, hemorrhoids prolapse during straining, but recede on their own. • G r a d e T h r e e : a more complicated and painful type of hemorrhoid, in grade the vein prolepses and must be manually pushed back in. Bleeding usually occurs. • G r a d e F o u r : the most painful of all hemorrhoids, grade four’s are so large they are always noticeably protruding from the anus and bleed frequently. They are also very painful. | Hemorrhoid No More | By Jessica Wright Page 17