Hello, I was overweight (86) later on started Diet and now I am 81 mean time I had a issue and Constipation so had a check up in the month of AUG and the reports says it's Internal Hemorrhoids of grade I and II. I have taken extra care and it was alright but now again it's again bit itching me someday. I don't have any problem but I don't want a problem in future nor surgery so can anyone please help. Me out. sigmoidoscopy REPORT says 3 Columns of Grade I-II Internal Hemorrhoids *Colonoscope passed upto sigmoid colon. Visualised Colonic and rectal mucosa is normal. There are 3 grades of grade I-II Hemorrhoids Impression :- Internal Hemorrhoids Anal erosion.