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Are Grade 4 hemorrhoids dangerous? As hemorrhoids worsen, their prolapse is harder to resolve. Grade 3 hemorrhoids require manual manipulation to return them to their spot. Grade 4, the most severe, do not reduce at all. They are permanently prolapsed, and even pushing them back in place will not keep them inside the rectum.
What is the best medicine to shrink hemorrhoids? If your hemorrhoids produce only mild discomfort, your doctor might suggest over-the-counter creams, ointments, suppositories or pads. These products contain ingredients such as witch hazel, or hydrocortisone and lidocaine, which can temporarily relieve pain and itching.

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