girl on beach

Women’s Health Library

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Internal Hemorrhoids: First- to Fourth-Degree

Picture of a first-degree internal hemorrhoid
Picture of a second-degree internal hemorrhoid

A first-degree internal hemorrhoid bulges into the anal canal during bowel movements.

A second-degree internal hemorrhoid bulges from the anus during bowel movements, then goes back inside by itself.

A third-degree hemorrhoid bulges from the anus during bowel movements and must be pushed back in with a finger. A fourth-degree hemorrhoid protrudes from the anus all the time.

Current as of: October 19, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 19, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

News & Events

Telehealth & COVID-19

Telehealth Visits are available. Request by calling (650) 239-5303 or  click “Request Appointment” above. We have a secure HIPAA compliant platform that allows me discuss your health matters privately. If you need an in person visit, please know we are using CDC guidelines of distancing patients and disinfecting. Masks are mandatory for all staff and patients. Dr Serrato does not see COVID patients here nor those with any respiratory symptoms. Your safety is of the utmost concern to me.… Continue Reading