🔹 Grade 1 Piles
• These are internal hemorrhoids that stay inside the rectum.
• There may be bleeding during bowel movements, but no pain or prolapse (they don’t come out).
• Often discovered accidentally during checkups.
✅ Treatment: Diet changes, stool softeners, and medications.
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🔹 Grade 2 Piles
• Hemorrhoids prolapse (come out) during bowel movements but go back inside on their own.
• Symptoms include bleeding, itching, and mild discomfort.
⚠️ Treatment: Medicines, Kshar Sutra therapy, or non-surgical procedures like rubber band ligation.
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🔹 Grade 3 Piles
• Hemorrhoids come out during stool passing and need to be pushed back manually.
• Can cause pain, swelling, and regular bleeding.
🔴 Treatment: Kshar Sutra, laser treatment, or surgery may be required.
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🔹 Grade 4 Piles
• Hemorrhoids are permanently prolapsed – they stay outside the anus and cannot be pushed back.
• Often very painful, with swelling, bleeding, and risk of infection or clot.
🚨 Treatment: Advanced procedures like surgery, laser, or Ayurvedic Kshar Sutra therapy.