Dr. Mohammed Hatem AlsubaihImportant: This content is for education and information organisation; it does not provide an individual diagnosis or treatment plan. Clinical decisions depend on history, examination and appropriate testing.
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Grade III needs manual reduction and grade IV is irreducible, but bleeding, external disease, continence and evacuation also affect decisions. Discuss examination-based options rather than selecting a device first.
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Seek urgent medical assessment for heavy bleeding, fever with increasing pain or swelling, rapid deterioration, or new severe symptoms.