A 21-year-old member asked:
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can hemorrhoids be associated with liver disease?

2 doctor answers
Dr. David Gutman
19 years experience Internal Medicine
No: Severe liver disease with cirrhosis can cause rectal varices, which are distinctly different from hemorrhoids. When intestinal blood cannot adequately flow through the liver due to cirrhosis, some of the blood flow is diverted through veins in the rectum to other veins in the body. This causes the rectal veins to become engorged. Rectal varices can bleed, but they are not true hemorrhoids.
Answered on Jul 6, 2019
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Dr. Lance Stein
Specializes in Hepatology
No: Rectal varices are associated with liver disease but only when portal hypertension (or high pressures within the portal vein) are present as is seen in some cases of liver cirrhosis. Due to the venous anatomy, these form as rectal varices which can present like internal hemorrhoids but are different. However, people with hemorrhoids and advanced liver disease can be more prone to bleed.
Answered on Jun 7, 2019
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