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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 normal veins around the anus or lower rectum that can become swollen, causing pain, itchiness and sometimes bleeding. Hemorrhoids are usually temporary and are not dangerous. About 75% of people will have a hemorrhoid at some time in their lives.