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Hemorrhoids, also understood as piles, are protrusions of varicose veins and connective tissue around the canal extending to inside the rectum. Symptoms are itching, pain, bleeding, and swelling. The number one cause is genes (an absence of valves within the hemorrhoidal veins), followed by irregular bowel practices (constipation or diarrhea), and any activity that triggers increased intra-abdominal pressure (prolonged straining, raising, etc.).Hemorrhoids are categorized as external or internal, and can be staged or graded 1 to 4. Classification of Hemorrhoids page and or watch the Hemorrhoid Surgical treatment Video to see and hear the distinctions in the Goligher pile category system, and to learn the fundamentals of Hemorrhoid surgical treatment.

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