The hemorrhoid prolapses as soon as you go to the toilet, and this is said in two ways. If the hemorrhoid is able to retract on its own after a bowel movement, then it is still a stage 2 hemorrhoid. The second stage hemorrhoids are early stage hemorrhoids, as long as you pay attention to your diet, keep your stool open and soft, pay attention to the cleanliness of the anal area after the stool, do anal lifting exercises, and control the symptoms of the hemorrhoids with medication when they appear, you don’t need surgery. If the hemorrhoid protrudes during the bowel movement and needs to be retracted by hand after the bowel movement, or if it stays outside, the hemorrhoid belongs to the third or fourth stage of the hemorrhoid, which is a late stage hemorrhoid. Most of the conservative treatments for late stage hemorrhoids such as medication are not effective and most of them require surgery.