Hemorrhoids and Enlarged Rectal Veins

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Hemorrhoids, in the rectum, occur when the veins are not returning enough blood back to the heart. When this happens, the vein walls do not receive enough oxygen and release a substance into the blood that causes them swell and become inflamed. This swelling weakens them and their more likely to break when they are rubbed, like during a bowel movement.

If your stools are hard, you have a higher chance of breaking a swelling vein. For this reason getting your stools softer is one step in clearing your hemorrhoids. You can do this by eating a diet and using remedies that help relieve constipation.
Hemorrhoids, which are enlarged or swelling can exist,

On the inside just above the muscle that closes the anus and into to the rectum. They are near the surface of the rectum mucus membrane
On the outside, they occur on the skin that surround the anus and protrude or hang outward.

In a way, hemorrhoids can be considered varicose veins of the rectum. Just like varicose veins in the legs, the rectum veins become enlarged and come to the skin surface and bulge out.
Hemorrhoids occur when you are constipated for long periods, sit for long hours,...

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