A 53-Year-Old Man Complained That for the Past 4 Years

A 53-year-old man complained that for the past 4 years he had frequently passed blood-stained stools. Recently, he had noticed that his "bowel" protruded from his anus after defecation, and this caused him considerable discomfort.
-The following symptoms and signs in this patient were consistent with a diagnosis of third-degree internal hemorrhoids except which?

A) The patient suffered from intense perianal irritation caused by the mucous secretions from the prolapsed mucous membrane.
B) Proctoscopic examination revealed three pink swellings of mucous membrane at the level of the anal valves.
C) The swellings were situated at the 1,4 , and 9 o'clock positions with the patient in the lithotomy position.
D) The swellings bulged downward when the patient was asked to strain.
E) Large, congested veins were seen in the swellings.
F) The swellings remained outside the anus after defecation.
G) Abrasion of the mucous membrane was responsible for the bleeding.