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Third-degree hemorrhoids: Hemorrhoids that prolapse and must be pushed back in by a finger. Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed (containing blood clots) or that pull much of the lining of the rectum through the anus. Symptoms of Prolapsed Internal Hemorrhoids. Hemorrhoids prolapse when their blood vessels swell and extend from their location in the rectum through the anus.