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There are two kinds of hemorrhoids--internal and external. Frequently, the only sign that internal hemorrhoids exist is bright red blood that appears on the surface of the stool, in the toilet bowl, or on the toilet paper. But, if the pressure and swelling continue, the hemorrhoidal veins may stretch out of shape, sometimes so much that they bulge through the anus to the outside of the body.

Causes: Internal hemorrhoids can be present for some time before they are discovered. Bleeding may be the first sign of internal hemorrhoids. Continual bleeding for two long can cause anemia.

Gravity causes continual stress on the delicate vessels which supply blood to the anus. In addition, abdominal pressure of any kind can aggravate the pressure placed on these veins. Hemorrhoids can be the result of pregnancy, which puts added weight and pressure on the rectum, a complication of childbirth, a congenital weakness in the veins of the anus, or from repeated straining during attempts to move hard feces.

 

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The strain of constipation, diarrhea and pregnancy can cause the veins to swell. Other factors such as obesity and liver disease can also increase pressure and
cause hemorrhoids.

The main cause is constipation and straining during a bowel movement. Circulatory weakness of the veins is the cause of hemorrhoids, along with constipation. Liver congestion can be a contributing factor. Hemorrhoids are common in junk food diets and low fiber diets, lack of exercise, sitting while working, heavy lifting and obesity.

In addition, the repeated use of laxatives, prolonged hard coughing, violent sneezing, physical exertion, lifting the wrong way, and standing or sitting for long periods of time can also initiate the formation of hemorrhoids.

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