Hemorrhoids, or piles, are swollen veins around the anus and in the rectum that may protrude from the anus. They are very much like varicose veins; they enlarge and lose their elasticity, resulting in saclike protrusions into the anal canal. They can be caused, and aggravated, by sitting or standing for prolonged periods, lifting heavy objects, straining at bowel movements, as well as by pregnancy, obesity, lack of exercise, liver damage, food allergies, and insufficient consumption of dietary fiber.
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