Grade 1 hemorrhoids represent the earliest stage of the condition, during which symptoms are often minimal or not clearly noticeable. At this stage, many patients tend to be subjective about their health or avoid medical consultation and treatment due to embarrassment.
What are grade 1 hemorrhoids?
Grade 1 hemorrhoids are the earliest stage of hemorrhoidal disease, in which the blood vessels in the anal canal and lower rectum become dilated and begin to form hemorrhoidal cushions. At this stage, the hemorrhoids are small in size and have not prolapsed outside the anus. Patients usually do not experience pain or significant discomfort, even in cases where minor bleeding occurs.
Patients may identify grade 1 hemorrhoids through several signs:
Internal hemorrhoids: There is usually no pain or burning sensation during bowel movements, but small amounts of blood may be noticed on the stool or toilet paper.
External hemorrhoids: Although not painful, patients may be able to feel the small hemorrhoidal lump when touching the anal area. Because the hemorrhoid is located outside the anus, it is easily irritated during bowel movements, which may occasionally cause burning or itching around the anus. In cases of prolonged constipation, bleeding from the anal area may also occur.
Is grade 1 hemorrhoids dangerous?
Grade 1 hemorrhoids represent the earliest stage of the disease. At this stage, they are the easiest to treat, associated with few complications, and carry a low risk of recurrence. Apart from causing discomfort, embarrassment, or psychological stress, they generally do not pose a serious threat to health.
However, in practice, many patients with mild hemorrhoids (grade 1 and grade 2) tend to underestimate their condition or feel embarrassed, leading them to conceal symptoms or self-medicate without medical consultation. This can allow the disease to progress, resulting in prolapsed hemorrhoids, anal fissures, or even hemorrhoidal necrosis. In such cases, treatment becomes more difficult and complex, with a higher risk of complications.
Grade 1 hemorrhoids are the initial stage of the disease, the most manageable to treat, with few complications and a low risk of recurrence.
How are grade 1 hemorrhoids diagnosed and treated?
What does a grade 1 hemorrhoid examination involve?
Hemorrhoids are a common condition, especially among office workers, postpartum women, and drivers who sit for long periods. The disease does not resolve on its own; if not treated properly and in a timely manner, it will progressively worsen and may lead to serious complications. For this reason, patients should visit a reputable medical facility and consult a specialist in gastroenterology, general surgery, or colorectal surgery as soon as they notice abnormal symptoms such as anal itching, moisture, difficulty passing stool, or rectal bleeding.
To diagnose grade 1 hemorrhoids, physicians may use the following methods:
Visual and digital examination: The physician uses a gloved finger to examine the rectum, assess the presence of hemorrhoidal cushions, muscle tone, and detect any other related problems.
Rectoscopy (proctoscopy): A flexible scope is inserted through the anus into the rectum, allowing direct visualization of the rectal lining. This helps the physician identify and confirm internal grade 1 hemorrhoids.
Additional tests: To ensure an accurate diagnosis and exclude other conditions, further laboratory or imaging studies may be prescribed if necessary.
Based on the results, the physician will evaluate the disease status and determine the most appropriate treatment plan. In addition, patients are advised to follow medical instructions regarding diet, lifestyle modifications, and scheduled follow-up visits to monitor progression and promptly manage potential complications.
How to treat grade 1 hemorrhoids safely and effectively
Since grade 1 hemorrhoids are considered mild, physicians usually recommend conservative treatment with medication and lifestyle modification. Whether internal or external hemorrhoids are present, changes in diet and daily habits play a crucial role in relieving symptoms and preventing disease progression. Important measures include:
Drink sufficient clean water every day to support metabolism, improve digestion, and promote fiber absorption.
Increase intake of green vegetables, fresh fruits, and fiber-rich foods beneficial for constipation relief, such as sweet potato leaves or sweet potatoes.
Limit spicy foods, high-fat meals, excess protein, and fast food.
Eat at regular times and avoid skipping meals.
Avoid prolonged sitting; take breaks for light movement, especially for office workers.
Engage in light exercise such as walking or swimming for 30–60 minutes daily.
Gently clean the anal area after each bowel movement using soft, fragrance-free, non-irritating wet wipes or tissue.
Sitz baths with warm water may help relieve burning or irritation.
Apply warm compresses or cold packs if swelling occurs around the anus.
Develop the habit of regular bowel movements at a fixed time each day to help the digestive system function more effectively.
Patients with grade 1 hemorrhoids are advised to drink plenty of water, eat a diet rich in green vegetables and fruits, and choose easily digestible foods.
Grade 1 hemorrhoids do not require surgical intervention, so patients should adhere strictly to conservative treatment and persist with lifestyle modifications over the long term. This approach helps prevent the disease from progressing to more severe stages that may require costly and painful surgical procedures.
If mild symptoms such as itching or persistent constipation remain, physicians may prescribe additional medications to help control the condition, such as:
Topical medications: Applied directly to the affected area to relieve itching and discomfort.
Oral medications: Including anti-inflammatory drugs, venotonic agents to strengthen the walls of hemorrhoidal veins and reduce swelling, laxatives to relieve constipation, and hemostatic agents to control bleeding.
In addition, some natural remedies may be used to support treatment, for example:
Houttuynia cordata (diếp cá): Helps reduce inflammation, detoxify the body, and relieve constipation.
Turmeric extract: Provides anti-inflammatory effects and promotes wound healing.
The type of medication and dosage must be prescribed by a physician after direct examination and assessment of the patient’s condition. Self-medication is not recommended, as it may worsen the disease or lead to dangerous complications.
Grade 1 hemorrhoids are considered mild and therefore do not require surgical intervention. In most cases, they can be completely cured; however, patients must undergo medical examination by a specialist to ensure accurate diagnosis and appropriate treatment, as well as to rule out other digestive conditions with similar symptoms. During treatment, it is essential for patients to strictly follow the physician’s instructions and remain consistent with the prescribed regimen. Interrupting or abandoning treatment prematurely may result in incomplete resolution of the disease and increase the risk of recurrence.
>>> Watch the detailed video on hemorrhoid treatment presented by People’s Physician, Assoc. Prof. Dr. Nguyễn Xuân Hùng:
Where is the best and most reliable place to diagnose and treat grade 1 hemorrhoids?
Hemorrhoids cannot resolve on their own and will continue to progress if not properly managed. Therefore, when experiencing symptoms suggestive of grade 1 hemorrhoids, patients should not be subjective or delay care. It is important to seek consultation with a specialist at a reputable medical facility for accurate diagnosis and timely treatment, with the goal of curing the disease effectively from its earliest stage.
With more than 20 years of trusted experience, Hong Ngoc General Hospital has become a reliable destination for patients seeking consultation and treatment for hemorrhoids. In particular, patients are examined and treated directly by Assoc. Prof. Dr. Nguyen Xuan Hung, one of Vietnam’s leading experts in gastrointestinal surgery and anorectal diseases.
Former Director of the Colorectal and Perineal Surgery Center, Head of the Department of Gastrointestinal Surgery, and Head of the Outpatient Department at Viet Duc University Hospital.
Vice President of the Vietnam Society of Coloproctology and member of the Vietnam Association of Surgery and Endoscopic Surgery.
Member of the French Society of Coloproctology.
Visiting lecturer at Hanoi Medical University and Vietnam National University.
Assoc. Prof. Dr. Nguyen Xuan Hung and his surgical team performing hemorrhoid surgery using the laser technique.
Together with a team of highly qualified and experienced physicians:
People’s Physician, Assoc. Prof. Dr. Pham Van Cuong, MD, PhD, Specialist Level II: Nearly 40 years of experience; member of the Vietnam Association of Endoscopic Surgery and Surgery.
Dr. Cu Trung Kien, MSc: Specialized training in gastrointestinal surgery in Hong Kong; former physician at Bach Mai Hospital; currently Deputy Head of the Department of Gastrointestinal Surgery, Hong Ngoc General Hospital – Yen Ninh branch.
Dr. Bach Phuc Huy, Specialist Level I: Over 15 years of experience; Head of the Gastrointestinal Surgery Unit, Hong Ngoc General Hospital – Phuc Truong Minh branch.
Hemorrhoid treatment with leading specialists to ensure:
Accurate diagnosis: Prevents confusion with rectal cancer, polyps, or other anorectal diseases.
Adequate treatment: Around 50% of cases can be managed with medication combined with dietary and lifestyle adjustments, while 45% may only require simple procedures.
>>> Hotline for appointment booking: 0911 908 856 >>> Hotline for surgical consultation: 0949 646 556
----------------------------------
Note: The information provided in this article by Hong Ngoc General Hospital is for reference only and is not a substitute for professional medical diagnosis or treatment. Patients should not self-medicate. To determine the exact condition, it is essential to visit a hospital for direct examination, diagnosis, and consultation with a physician for an appropriate treatment plan.
Follow the official fanpage of Hong Ngoc General Hospital for more useful health information and updates on special promotions from the hospital.
Grade 1 hemorrhoids represent the earliest stage of the condition, during which symptoms are often minimal or not clearly noticeable. At this stage, many patients tend to be subjective about their health or avoid medical consultation and treatment due to embarrassment.
What are grade 1 hemorrhoids?
Grade 1 hemorrhoids are the earliest stage of hemorrhoidal disease, in which the blood vessels in the anal canal and lower rectum become dilated and begin to form hemorrhoidal cushions. At this stage, the hemorrhoids are small in size and have not prolapsed outside the anus. Patients usually do not experience pain or significant discomfort, even in cases where minor bleeding occurs.
Patients may identify grade 1 hemorrhoids through several signs:
Internal hemorrhoids: There is usually no pain or burning sensation during bowel movements, but small amounts of blood may be noticed on the stool or toilet paper.
External hemorrhoids: Although not painful, patients may be able to feel the small hemorrhoidal lump when touching the anal area. Because the hemorrhoid is located outside the anus, it is easily irritated during bowel movements, which may occasionally cause burning or itching around the anus. In cases of prolonged constipation, bleeding from the anal area may also occur.
Is grade 1 hemorrhoids dangerous?
Grade 1 hemorrhoids represent the earliest stage of the disease. At this stage, they are the easiest to treat, associated with few complications, and carry a low risk of recurrence. Apart from causing discomfort, embarrassment, or psychological stress, they generally do not pose a serious threat to health.
However, in practice, many patients with mild hemorrhoids (grade 1 and grade 2) tend to underestimate their condition or feel embarrassed, leading them to conceal symptoms or self-medicate without medical consultation. This can allow the disease to progress, resulting in prolapsed hemorrhoids, anal fissures, or even hemorrhoidal necrosis. In such cases, treatment becomes more difficult and complex, with a higher risk of complications.
Grade 1 hemorrhoids are the initial stage of the disease, the most manageable to treat, with few complications and a low risk of recurrence.
How are grade 1 hemorrhoids diagnosed and treated?
What does a grade 1 hemorrhoid examination involve?
Hemorrhoids are a common condition, especially among office workers, postpartum women, and drivers who sit for long periods. The disease does not resolve on its own; if not treated properly and in a timely manner, it will progressively worsen and may lead to serious complications. For this reason, patients should visit a reputable medical facility and consult a specialist in gastroenterology, general surgery, or colorectal surgery as soon as they notice abnormal symptoms such as anal itching, moisture, difficulty passing stool, or rectal bleeding.
To diagnose grade 1 hemorrhoids, physicians may use the following methods:
Visual and digital examination: The physician uses a gloved finger to examine the rectum, assess the presence of hemorrhoidal cushions, muscle tone, and detect any other related problems.
Rectoscopy (proctoscopy): A flexible scope is inserted through the anus into the rectum, allowing direct visualization of the rectal lining. This helps the physician identify and confirm internal grade 1 hemorrhoids.
Additional tests: To ensure an accurate diagnosis and exclude other conditions, further laboratory or imaging studies may be prescribed if necessary.
Based on the results, the physician will evaluate the disease status and determine the most appropriate treatment plan. In addition, patients are advised to follow medical instructions regarding diet, lifestyle modifications, and scheduled follow-up visits to monitor progression and promptly manage potential complications.
How to treat grade 1 hemorrhoids safely and effectively
Since grade 1 hemorrhoids are considered mild, physicians usually recommend conservative treatment with medication and lifestyle modification. Whether internal or external hemorrhoids are present, changes in diet and daily habits play a crucial role in relieving symptoms and preventing disease progression. Important measures include:
Drink sufficient clean water every day to support metabolism, improve digestion, and promote fiber absorption.
Increase intake of green vegetables, fresh fruits, and fiber-rich foods beneficial for constipation relief, such as sweet potato leaves or sweet potatoes.
Limit spicy foods, high-fat meals, excess protein, and fast food.
Eat at regular times and avoid skipping meals.
Avoid prolonged sitting; take breaks for light movement, especially for office workers.
Engage in light exercise such as walking or swimming for 30–60 minutes daily.
Gently clean the anal area after each bowel movement using soft, fragrance-free, non-irritating wet wipes or tissue.
Sitz baths with warm water may help relieve burning or irritation.
Apply warm compresses or cold packs if swelling occurs around the anus.
Develop the habit of regular bowel movements at a fixed time each day to help the digestive system function more effectively.
Patients with grade 1 hemorrhoids are advised to drink plenty of water, eat a diet rich in green vegetables and fruits, and choose easily digestible foods.
Grade 1 hemorrhoids do not require surgical intervention, so patients should adhere strictly to conservative treatment and persist with lifestyle modifications over the long term. This approach helps prevent the disease from progressing to more severe stages that may require costly and painful surgical procedures.
If mild symptoms such as itching or persistent constipation remain, physicians may prescribe additional medications to help control the condition, such as:
Topical medications: Applied directly to the affected area to relieve itching and discomfort.
Oral medications: Including anti-inflammatory drugs, venotonic agents to strengthen the walls of hemorrhoidal veins and reduce swelling, laxatives to relieve constipation, and hemostatic agents to control bleeding.
In addition, some natural remedies may be used to support treatment, for example:
Houttuynia cordata (diếp cá): Helps reduce inflammation, detoxify the body, and relieve constipation.
Turmeric extract: Provides anti-inflammatory effects and promotes wound healing.
The type of medication and dosage must be prescribed by a physician after direct examination and assessment of the patient’s condition. Self-medication is not recommended, as it may worsen the disease or lead to dangerous complications.
Grade 1 hemorrhoids are considered mild and therefore do not require surgical intervention. In most cases, they can be completely cured; however, patients must undergo medical examination by a specialist to ensure accurate diagnosis and appropriate treatment, as well as to rule out other digestive conditions with similar symptoms. During treatment, it is essential for patients to strictly follow the physician’s instructions and remain consistent with the prescribed regimen. Interrupting or abandoning treatment prematurely may result in incomplete resolution of the disease and increase the risk of recurrence.
>>> Watch the detailed video on hemorrhoid treatment presented by People’s Physician, Assoc. Prof. Dr. Nguyễn Xuân Hùng:
Where is the best and most reliable place to diagnose and treat grade 1 hemorrhoids?
Hemorrhoids cannot resolve on their own and will continue to progress if not properly managed. Therefore, when experiencing symptoms suggestive of grade 1 hemorrhoids, patients should not be subjective or delay care. It is important to seek consultation with a specialist at a reputable medical facility for accurate diagnosis and timely treatment, with the goal of curing the disease effectively from its earliest stage.
With more than 20 years of trusted experience, Hong Ngoc General Hospital has become a reliable destination for patients seeking consultation and treatment for hemorrhoids. In particular, patients are examined and treated directly by Assoc. Prof. Dr. Nguyen Xuan Hung, one of Vietnam’s leading experts in gastrointestinal surgery and anorectal diseases.
Former Director of the Colorectal and Perineal Surgery Center, Head of the Department of Gastrointestinal Surgery, and Head of the Outpatient Department at Viet Duc University Hospital.
Vice President of the Vietnam Society of Coloproctology and member of the Vietnam Association of Surgery and Endoscopic Surgery.
Member of the French Society of Coloproctology.
Visiting lecturer at Hanoi Medical University and Vietnam National University.
Assoc. Prof. Dr. Nguyen Xuan Hung and his surgical team performing hemorrhoid surgery using the laser technique.
Together with a team of highly qualified and experienced physicians:
People’s Physician, Assoc. Prof. Dr. Pham Van Cuong, MD, PhD, Specialist Level II: Nearly 40 years of experience; member of the Vietnam Association of Endoscopic Surgery and Surgery.
Dr. Cu Trung Kien, MSc: Specialized training in gastrointestinal surgery in Hong Kong; former physician at Bach Mai Hospital; currently Deputy Head of the Department of Gastrointestinal Surgery, Hong Ngoc General Hospital – Yen Ninh branch.
Dr. Bach Phuc Huy, Specialist Level I: Over 15 years of experience; Head of the Gastrointestinal Surgery Unit, Hong Ngoc General Hospital – Phuc Truong Minh branch.
Hemorrhoid treatment with leading specialists to ensure:
Accurate diagnosis: Prevents confusion with rectal cancer, polyps, or other anorectal diseases.
Adequate treatment: Around 50% of cases can be managed with medication combined with dietary and lifestyle adjustments, while 45% may only require simple procedures.
>>> Hotline for appointment booking: 0911 908 856 >>> Hotline for surgical consultation: 0949 646 556
----------------------------------
Note: The information provided in this article by Hong Ngoc General Hospital is for reference only and is not a substitute for professional medical diagnosis or treatment. Patients should not self-medicate. To determine the exact condition, it is essential to visit a hospital for direct examination, diagnosis, and consultation with a physician for an appropriate treatment plan.
Follow the official fanpage of Hong Ngoc General Hospital for more useful health information and updates on special promotions from the hospital.
Để lại câu hỏi của bạn để nhận được giải đáp từ các bác sĩ của Hồng Ngọc
Lorem ipsum dolor
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris odio lectus, pretium faucibus nisi eu, accumsan consectetur orci. In blandit vehicula nisl, vel lacinia ligula finibus a. Donec fermentum rhoncus
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris odio lectus, pretium faucibus nisi eu, accumsan consectetur orci. In blandit vehicula nisl, vel lacinia ligula finibus a. Donec fermentum rhoncus
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris odio lectus, pretium faucibus nisi eu, accumsan consectetur orci. In blandit vehicula nisl, vel lacinia ligula finibus a. Donec fermentum rhoncus
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris odio lectus, pretium faucibus nisi eu, accumsan consectetur orci. In blandit vehicula nisl, vel lacinia ligula finibus a. Donec fermentum rhoncus
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris odio lectus, pretium faucibus nisi eu, accumsan consectetur orci. In blandit vehicula nisl, vel lacinia ligula finibus a. Donec fermentum rhoncus