K64.3: Fourth degree haemorrhoids

Fourth-degree hemorrhoids, also known as Grade 4 hemorrhoids, represent a serious condition where the internal or external hemorrhoids remain prolapsed, or fallen out of the anus, and cannot be manually pushed back in. Unlike lower-degree hemorrhoids, fourth-degree hemorrhoids are always outside, which can lead to severe pain, discomfort, and difficulties in maintaining personal hygiene. Common symptoms include bleeding during bowel movements, anal itching, rectal pain, and potentially mucus discharge. This condition generally evolves from less severe forms of hemorrhoids, often as a result of straining during bowel movements, persistent constipation, or pregnancy. It impacts the lower part of the digestive system, particularly the anal area. Diagnosis usually involves a medical examination due to the physical presentation of the symptoms.