- Normal vascular cushions that help w/continence, cushioning
- Perhaps chronic straining
- Industrialized societies
- Painless bleeding
- Fullness/swelling sensation
- Blood on toilet paper, in bowl
- Rare site of variceal bleeding from portal htn
- Blood apparent on digital rectal if bleeding at time of exam
- Grade 1 not visible unless use anoscope
- Grade 2 prolapse but reduces on own
- Grade 3 prolapse and requires manual reduction
- Grade 4 prolapse and can't be reduced