 - Presence of at least two symptoms pain in the anorectal evacuation to walk and or at rest, feeling of anal discomfort burning, itching, irritation to evacuate to walk and or at rest, bloating in the anorectal region, the presence and intensity of bleeding in the anorectal region, the presence and intensity of mucus in the anorectal region with a score equal to or greater than 3 measured by visual analogue scale; 