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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.
Hemorrhoids are engorged, often painful veins located in your anus. Hemorrhoids can build up in 2 different places. There are 2 distinct branches of veins that drain the blood from the lower rectum and anus.The internal veins can become swollen to form internal hemorrhoids. Internal hemorrhoids, unless they are severe, cannot be seen or felt, unlike external hemorrhoids.Similarly, the external veins can enlarge to form external hemorrhoids. External hemorrhoids can be seen around the outside of the anus and, often, can be felt. Often a simple push of the hemorrhoids back into the rectum can solve the problem. 2  If the hemorrhoids cannot be reduced back into the rectum, then they will continue to inflame and can become trapped outside of the anus. 3  If your hemorrhoids become prolapsed and cannot be reduced, then you will need to see a doctor.