A member asked:

How can i differentiate between external hemorrhoid and prolapsed internal hemorrhoid (grade 4)? since both of them cannot be pushed back in.

A doctor has provided 1 answer
Dr. Creighton Wright answered

Specializes in surgery

Difficult : Does the protrusion come from above or below the dentate anal line. Sometimes obscure even to colorectal or general surgeon! If prolapsing and bleeding see GI or surgeon for treatment

Answered 12/26/2017

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