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Haemorrhoids normally bleed because they’ve become engorged, congested and swollen and therefore being made of blood vessels, those blood vessels will eventually burst and bleed. Normally, this happens when there is an increase or prolonged increase in the abdominal pressure which pumps more blood into the haemorrhoids which will eventually burst and bleed. This is why patients with constipation or a patient need an excessive straining to open a bowel or spending too long sitting on the toilet are more likely to suffer from haemorrhoidal bleeding. The hemorrhoidal bleeding normally consists of bright red blood because it is highly oxygenated blood and normally happens at the end of defecation. One thing that I would like to stress is the importance of these symptoms. Pure bleeding is very common and very often is believed to be associated
to haemorrhoids which is often the case. Unfortunately though, there are also other instances where the bleeding may be secondary to other more serious causes. Therefore, anytime a patient suffers pure bleeding, this should be reported to the GP and discussed and maybe
investigated

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