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Hemorrhoids , also called piles , are vascular structures in the anal canal. While the exact cause of hemorrhoids remains unknown, a number of factors which increase pressure in the abdomen are believed to be involved.
Often, no specific treatment is needed. If not thrombosed , external hemorrhoids may cause few problems. Internal hemorrhoids usually present with painless, bright red rectal bleeding during or following a bowel movement. The exact cause of symptomatic hemorrhoids is unknown. During pregnancy, pressure from the fetus on the abdomen and hormonal changes cause the hemorrhoidal vessels to enlarge. The birth of the baby also leads to increased intra-abdominal pressures.
Hemorrhoid cushions are a part of normal human anatomy and become a pathological disease only when they experience abnormal changes.
Hemorrhoid cushions are important for continence. Hemorrhoids are typically diagnosed by physical examination. These are differentiated by their position with respect to the pectinate line.
Internal hemorrhoids originate above the pectinate line. External hemorrhoids occur below the dentate or pectinate line. Many anorectal problems, including fissures , fistulae , abscesses, colorectal cancer , rectal varices , and itching have similar symptoms and may be incorrectly referred to as hemorrhoids.