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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 are swollen or inflamed veins in the anus and lower rectum that can be itchy, painful, and potentially cause bleeding during bowel movements. There are two types of hemorrhoids, internal and external.