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Less strain, more gain. Prolonged sitting or straining, often associated with constipation or diarrhea, may lead to hemorrhoids. By straining you are causing more hemorrhoids and creating more symptoms, Dr. Wolf says. Don't delay bowel movements during hemorrhoid flare-ups.
When irritated, external hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation. When to see a doctor. Bleeding during bowel movements is the most common sign of hemorrhoids.But rectal bleeding can occur with other diseases, including colorectal cancer and anal cancer.Don't assume that bleeding is coming from hemorrhoids without consulting a doctor.hen irritated, external hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation. When to see a doctor. Bleeding during bowel movements is the most common sign of hemorrhoids.