The calculator in question is Goligher's classification of internal hemorrhoids. This classification system is used specifically in patients who have been diagnosed with internal hemorrhoids. The clinical utility of this calculator is to categorize the severity of internal hemorrhoids into four grades based on their characteristics and symptoms. This helps clinicians to decide the most appropriate treatment strategy for the patient.

Grade I hemorrhoids are small and remain inside the anal canal. Grade II hemorrhoids are larger and may protrude during bowel movements but retract spontaneously. Grade III hemorrhoids protrude during bowel movements and must be manually reduced. Grade IV hemorrhoids are permanently prolapsed and cannot be reduced.

There are no specific exclusion criteria for the use of Goligher's classification, but it is only applicable to internal hemorrhoids and not to external hemorrhoids or other anorectal conditions.

Goligher's classification of internal hemorrhoids

# Description:
The calculator in question is Goligher's classification of internal hemorrhoids. This classification system is used specifically in patients who have been diagnosed with internal hemorrhoids. The clinical utility of this calculator is to categorize the severity of internal hemorrhoids into four grades based on their characteristics and symptoms. This helps clinicians to decide the most appropriate treatment strategy for the patient.

Grade I hemorrhoids are small and remain inside the anal canal. Grade II hemorrhoids are larger and may protrude during bowel movements but retract spontaneously. Grade III hemorrhoids protrude during bowel movements and must be manually reduced. Grade IV hemorrhoids are permanently prolapsed and cannot be reduced.

There are no specific exclusion criteria for the use of Goligher's classification, but it is only applicable to internal hemorrhoids and not to external hemorrhoids or other anorectal conditions.
---
# Inputs:
## Physical findings
A. Prominent hemorrhoidal vessels, no prolapse
B. Prolapse with Valsalva, spontaneous reduction
C. Prolapse with Valsalva, requires manual reduction
D. Chronically prolapsed, manual reduction ineffective
---
# Scoring:
- If A, then Grade I
- If B, then Grade II
- If C, then Grade III
- If D, then Grade IV
- If true, then Please make a selection)