Are hemorrhoids caused by heavy lifting, prolonged sitting, or other work-related activities?
While these activities can sometime make hemorrhoids more bothersome or noticeable, they do not cause hemorrhoids. How do hemorrhoids bother people? Hemorrhoids can be troublesome in several ways. Internal hemorrhoids may cause bleeding, and/or may fall out of the anal canal, requiring a person to push them back up inside after bowel movements. External hemorrhoids may become swollen and painful. While these are not usually serious or life-threatening problems, bleeding, in particular, needs careful evaluation to see whether blood is coming from a hemorrhoid or from another problem, higher up, such as cancer, a polyp or inflammation of the bowel. Should hemorrhoids always be treated? Not necessarily. If symptoms are mild or infrequent, often no treatment is required. For more severe symptoms, the goals are relief of pain, and the restoration of normal function. Bleeding, however, whether painful or not, should always be evaluated and usually should be treated. A change in bowel habits
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