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The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids usually present with painless rectal bleeding, while external hemorrhoids may produce few symptoms or if thrombosed significant pain and swelling in the area of the anus. cara mengobati wasir ambeien tanpa harus operasi aman joss Many people incorrectly refer to any symptom occurring around the anal-Zectal area as "hemorrhoids" and serious causes of the symptoms should be ruled out. While the exact cause of hemorrhoids remains unknown, a number of factors which increase intra-abdominal pressure, in particular constipation, is believed to play a role in their development.