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When a patient has external hemorrhoids, they will lie under the skin around the anus. They can become very itchy and may bleed. Sometimes, the blood may accumulate and form a thrombus (clot), which can be painful; the area will swell and become inflamed. External hemorrhoids are more likely to present with pain.
Hemorrhoids. Hemorrhoids are veins just below the surface of the skin that have become inflamed or swollen. They can occur on the skin around your anus (external hemorrhoids) or inside your rectum (internal hemorrhoids). Already sensitive, they bleed easily if irritated.