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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.
But straining or irritation when passing stool can damage a hemorrhoid's surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation. External hemorrhoids. These are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed. Thrombosed hemorrhoids.