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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.
This is known as âinternal hemorrhoidal disease.â Such symptoms can occur occasionally (âflare upsâ) or may be chronic (long-term). When our external hemorrhoids cause symptoms, it is because a blood clot suddenly forms in one of these veins at the opening of the anus.This is known as a âthrombosed external hemorrhoid.â This blood clot results in a firm external lump that is associated with anal pain and, at times, bleeding between bowel movements.he internal hemorrhoids are a part of the blood supply to the anus and are made up of small arterial branches. In addition, internal hemorrhoidsâalso known as anal cushionsânormally help us maintain continence (hold our gas and stool) and also distinguish gas from stool before we pass gas.