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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.
External hemorrhoids are located underneath the skin that surrounds the anus (lower in the anus than internal hemorrhoids). They can be felt when they swell, and may cause itching, pain, or bleeding with a bowel movement.ymptoms of Prolapsed Internal Hemorrhoids. Prolapse of an internal hemorrhoid occurs when the internal hemorrhoids swell and extend from their location in the rectum through the anus. In the anal canal, the hemorrhoid is exposed to the trauma of passing stool, particularly hard stools associated with constipation.