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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.
Possible triggers of flare-ups include: 1  alcohol consumption. 2  allergic reactions to medications. 3  chicken pox.  cold 1  weather. diseases that reduce the effectiveness of the immune system (e.g., 2  HIV) hormonal changes.