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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.
A hemorrhoid is referred to as thrombus if there is a clot form inside an external hemorrhoid. External hemorrhoid can rupture and cause bleeding. In internal hemorrhoids, symptoms are not noticeable until the hemorrhoids rupture and bleed. The bleeding of internal hemorrhoids is usually minimal. Things that Cause Internal Hemorrhoids to Rupture.