The classification and clinical manifestations of hemorrhoids 1, internal hemorrhoids: the main manifestation of internal hemorrhoids is anal bleeding and hemorrhoid masses prolapsing from the anus during stool, generally without pain, but when complicated by thrombosis, impaction, infection, it can also be accompanied by pain. Internal hemorrhoids can be divided into three degrees: Ⅰ degree: bleeding, dripping or spraying bleeding during stool, bleeding stops on its own after stool, no hemorrhoid block prolapse; Ⅱ degree: bleeding during stool, hemorrhoid block prolapse, can be returned after stool; Ⅲ degree: bleeding during stool, hemorrhoid block prolapse, cannot be returned on its own, need to be pushed back by hand; Ⅳ degree: bleeding during stool, hemorrhoid block prolapse, cannot be returned by hand or prolapse again after returned. 2.External hemorrhoids: The main manifestations are anal discomfort, dampness, itching and anal skin flab, and when thrombosis or inflammation occurs, there can be severe pain. 3.Mixed hemorrhoids: The symptoms of both internal and external hemorrhoids exist. Mixed hemorrhoids gradually aggravate and prolapse out of the anus in a ring shape, in a plum shape around the anus, called ring hemorrhoids. If the prolapsed hemorrhoid is embedded by the spastic sphincter to the point of water, stasis or even necrosis, it is clinically known as embedded or narrower hemorrhoid.