DOXIUM 500MG 60 CAPSULES

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.