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  2. The starting stages of piles are as follows:
    1. First-degree (early stage) hemorrhoids: These bleed but do not prolapse.
    2. Second-degree hemorrhoids: They prolapse but return to the original state quickly.
    3. Third-degree hemorrhoids: They prolapse but can be reduced by surgeries.
    4. Fourth-degree hemorrhoids: They are permanently prolapsed and cannot be reduced1.
    5. Grade 1 piles: Swollen blood vessels that bulge into the anal canal but do not prolapse or fall out of the anus2.
    6. First-degree internal hemorrhoids: Bulge into the anal canal during bowel movements3.
    7. Internal piles: Form above a point 2-3 cm inside the back passage4.
    Learn more:
    The different stages of piles are described as below: First-degree (early stage) haemorrhoids bleed but do not prolapse Second-degree haemorrhoids prolapse but return to the original state quickly Third-degree where they prolapse but can be reduced by surgeries Fourth-degree where they are permanently prolapsed and cannot be reduced 1-3
    pharmeasy.in/blog/surgery-how-to-cure-piles-starti…
    The first stage of piles is grade 1 piles. Grade 1 piles are swollen blood vessels that bulge into the anal canal but do not prolapse or fall out of the anus. Piles at an early stage can be treated with lifestyle changes and over-the-counter medication.
    www.hexahealth.com/blog/how-to-cure-first-stage-…
    A first-degree internal hemorrhoid or first stage piles bulges into the anal canal during bowel movements. A second-degree internal hemorrhoid or second stage piles bulges from the anus during bowel movements, then goes back inside later or after bowel movement on its own.
    www.pristyncare.com/blog/pictorial-representation-…
    Internal piles are deeper and initially form above a point 2-3 cm inside the back passage (anal canal) in the upper part of the anal canal or lower rectum (the last part of the large bowel that connects to the anal canal). External piles start off nearer the surface, below a point 2-3 cm inside the back passage.
    patient.info/digestive-health/rectal-bleeding-blood-i…
     
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