Swollen and inflamed veins in the rectum or anus that may cause pain, itching, or bleeding.
For a 20% rating, medical records would need to show persistent bleeding from hemorrhoids alongside a confirmed diagnosis of anemia, such as lab results reflecting low hemoglobin or hematocrit. Alternatively, records documenting that internal hemorrhoids are continuously prolapsed and that thrombosis has occurred three or more times within a year would support this level.
For a 10% rating, records showing that internal hemorrhoids have prolapsed with no more than two thrombotic episodes per year, or that external hemorrhoids have caused thrombosis three or more times per year, are relevant. Treatment notes, emergency or urgent care visits, and physician documentation of each thrombotic episode help establish the frequency.
Statements from you or others who have observed your symptoms can help show how often episodes occur and how they affect your daily activities or work. Those statements are most useful when they connect directly to the frequency and severity criteria above.
Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.
