Bleeding does not occur with all hemorrhoids. There are four degrees of hemorrhoids which are used by doctors to rank the severity of the condition. They are:
- First-degree hemorrhoids: Hemorrhoids that bleed but do not prolapse (prolapse means 'protrude from the rectum').
- Second-degree hemorrhoids: Hemorrhoids that prolapse and retract on their own (with or without bleeding).
- Third-degree hemorrhoids: Hemorrhoids that prolapse but can be pushed back in with a finger.
- Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be pushed back in.
If you have bleeding and notice blood on the toilet paper or in the toilet bowl it is very important to be sure that hemorrhoids are causing the problem, as bleeding can sometimes be a sign of another health condition.