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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.
The haunting question about can you die from hemorrhoids is usually linked to the bleeding from hemorrhoids. Some people question whether it can lead to death or not. Hemorrhoids can cause significant blood loss, indeed. It is a kind of life threatening when you lose lots of blood. When you get chronic blood loss, you may get anemia or worse then.