DOXIPROCT PLUS OINTMENT 20G

The pathogenesis of hemorrhoids is multifactorial. Predisposing factors include heredity, portal hypertension, straining to defecate, and pregnancy. Internal hemorrhoids are classified into four groups.

• First-degree internal hemorrhoids do not protrude, cannot be palpated by digital examination, and require anoscopy for diagnosis. 
• Second-degree hemorrhoids protrude with defecation, but reduce spontaneously. 
• Third-degree hemorrhoids protrude and require manual reduction. 
• Fourth-degree hemorrhoids are irreducibly prolapsed.