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Grade 4

These cause pain, bleeding, discharge, and possible tissue damage.

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Grade 1

These internal hemorrhoids occasionally bleed, but don’t extend outside of the rectum.

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Grade 2

At this level, hemorrhoids may prolapse or extend out of the anus.

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Grade 3

Level 3 hemorrhoids usually bleed and cause pain. They may prolapse when put under strain.

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Do these symptoms sound familiar?

Discomfort during bowel movements or while sitting.
Blood in your stool, or when you wipe after using the bathroom.
Pain (and swelling) in and around the rectum.

Hemorrhoids in Pregnancy

Hemorrhoids typically develop during the third trimester. Expectant mothers may have internal hemorrhoids found on the inside of the rectum. External piles are ones located just under the skin around the anus. Thrombosed hemorrhoids form when blood from external hemorrhoids pools or clots.

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Treatment Options

Heat Energy Therapy

An innovative treatment using low energy heat to minimize blood flow.

THD Treatment

The use of a doppler to stop blood flow to the affected area and reduce inflammation.

Rubber Band Ligation

A high success rate procedure that involves cutting off blood flow to the hemorrhoid.


The injection of a solution to shrink hemorrhoids.


Renowned Surgeon

Dr. Kashani

Dr. Samuel Kashani is a board-certified surgeon. His extensive background includes minimally-invasive general surgery, bariatric surgery, and gastrointestinal procedures. Dr. Kashani's focus is on surgical methods that help to minimize post-operative pain, so that patients can return to their regular activities quickly and with a faster overall recovery experience.

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At your appointment, you'll receive compassion and a treatment plan tailored to you.

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