HomeAnswersInternal MedicinehemorrhoidsWhat stage of hemorrhoids do I have and how to treat it?

Will I need surgery for my hemorrhoids?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 30, 2022
Reviewed AtSeptember 1, 2023

Patient's Query

Hello doctor,

I have hemorrhoid and want to know what stage of it I have and if I will need surgery? What doctor should I go to?

Thank you.


Welcome to icliniq.com.

I have read your query and am sorry for your discomfort.

I saw the file you have attached.

Hemorrhoid has four grades.

Grade 1: Hemorrhoid protrudes into the anal canal but does not prolapse outside the anus.

Grade 2: Prolapse under pressure such as straining during a bowel movement but return on their own and is spontaneously reduced.

Grade 3: Prolapse that can be pushed back in by the patient.

Grade 4: Hemorrhoid remains prolapsed outside of the anus.

In the picture, I could see prolapse at rest, so most probably, it is grade 3 or grade 4.

The treatment of grade 3 and grade 4 hemorrhoid include surgical option.

For the grade 1 and grade 2 management, adding fiber in the diet, laxative and sitz bath, and the local application of cream helps in the treatment of hemorrhoid, but for grade 3 and grade 4, surgery is indicated. It would be best if you visited a general surgeon in your area for the recommendation of the above prolapsed hemorrhoid.

I hope you find my reply helpful.

Please follow up if you have any further related health queries.

Take care.

Thank you.

Patient's Query

Hello doctor,

Thank you for replying.

Do I have to do surgery, or would cream help?


Welcome back to icliniq.com.

In the picture (The attachment has been removed to protect the patient's privacy), prolapse is visible at rest without straining, so the best intervention would be surgery at this stage. Application of cream for pain and discomfort while defecation and along with other measures like taking fiber and laxative to avoid constipation, helps in stage 1 and stage 2 of hemorrhoid.

My suggestion would be that you should visit a general surgeon for the examination of hemorrhoids and follow the instructions, and the doctor may recommend surgery at this stage.

I hope I am able to guide you with the query.

Please follow up if you have any further related queries about it.

Take care.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Basuki Nath Bhagat
Dr. Basuki Nath Bhagat

Family Physician

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