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Internal and external hemorrhoids may present differently; however, many people may have a combination of the two. [8] Bleeding enough to cause anemia is rare, [5] and life-threatening bleeding is even more uncommon. [15] Many people feel embarrassed when facing the problem [5] and often seek medical care only when the case is advanced. [8]
“Doctors refer to symptomatic hemorrhoids as either external or internal,” says Mitchell A. Bernstein, M.D., a colon and rectal surgeon and professor of surgery at the NYU Grossman School of ...
“External hemorrhoids often feel like a bump, whereas internal hemorrhoids cannot be seen unless they prolapse outside the anal opening,” he says. Common symptoms of hemorrhoids include ...
Perianal hematoma are caused by the rupture of a small vein that drains blood from the anus. [4] This rupture may be the result of forceful or strained bowel movement, anal sex or caused by heavy lifting, coughing or straining.
In part owing to its exposure to feces, a number of medical conditions may affect the anus, such as hemorrhoids. [3] The anus is the site of potential infections and other conditions, including cancer (see anal cancer). [4] With anal sex, the anus can play a role in sexuality. Attitudes toward anal sex vary, and it is illegal in some countries. [5]
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When a person coughs, for instance, the hemorrhoids will engorge with blood and increase one's ability to hold gas and stool. They are termed internal and external based on their positioning to an embryological line termed the pectinate line. Hemorrhoids above the pectinate line are considered "internal" and those below it "external".
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