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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.
My doctor suggested surgery. Is this risky? DEAR READER: Hemorrhoids are swollen veins in the anus. Many people have both internal and external hemorrhoids. Internal hemorrhoids are located inside the anus, but can sometimes push out through the opening of the anus. External hemorrhoids are located at the rim of the anus. Both types can cause bleeding, itching and discomfort.