Not ususual: Hemorrhoids are a common ailment, and it is not uncommon for them to flare up from time to time. Straining - whether from constipation, heavy lifting, sometimes even coughing - can cause the veins in the rectum (which are what is actually swelling with hemorrhoid flare ups) to swell and give symptoms. Frequent symptoms can be treated with minimally invasive techniques in an office setting.
Answered 3/26/2014
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