Answer the following questions to assess your haemorrhoid symptoms. This will help determine the appropriate level of care you may need.
Question 1 of 5
This assessment takes approximately 2-3 minutes to complete.
Haemorrhoids are graded by how far the swollen tissue has moved beyond the anal canal, and this grading is one of the clearest ways to understand how advanced your condition is. Knowing your likely grade helps you and your specialist choose the most appropriate treatment — from simple lifestyle changes through to non-surgical procedures.
Small swellings inside the rectum that do not protrude. They often cause occasional bleeding but little or no pain, and usually respond well to fibre, hydration and other lifestyle measures.
Haemorrhoids that prolapse (push out) during a bowel movement but retract on their own. Symptoms become more noticeable and often benefit from professional, non-surgical treatment such as electrotherapy.
Prolapsed tissue that has to be pushed back in manually. Discomfort, itching and bleeding are common, and timely treatment helps prevent further progression.
Permanently prolapsed haemorrhoids that cannot be pushed back. These can be painful, may become thrombosed, and require prompt medical assessment.
The test adds up your answers across pain, bleeding, prolapse, impact on daily life and how long symptoms have lasted. A lower total points towards milder symptoms suited to conservative care, while a higher total suggests your symptoms are more advanced and would benefit from a professional consultation. The result is a guide, not a diagnosis.
Book an assessment promptly if you have persistent or heavy rectal bleeding, severe pain, a lump that will not go back in, or symptoms that keep returning. Rectal bleeding should never be assumed to be “just piles” — a specialist can confirm the cause and rule out more serious conditions.