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Hemorrhoids may be caused by a few different factors. The most common cause of hemorrhoids is repeated straining while having a bowel movement. Straining gets in the way of blood flow into and out of the area, which results in pooling of blood and enlargement of the vessels in that area.
While the presence of hemorrhoids is a reflection of the normal anatomy, most people and care professionals refer to hemorrhoids as an abnormal finding because they only present when they swell and cause problems. Hemorrhoid swelling occurs when there is an increase in the pressure in the small vessels that make up the hemorrhoid causing them to swell and engorge with blood.