Internal Hemorrhoids

1

• The veins in question are meant to expand to many
  times their usual diameter in order to "inflate"
  the cushions. Of course, they are also meant to
  "deflate" again, meaning that the walls of the
  vein are much like a rubber band. However, a
  rubber band can be overextended, unable to
  retract again. Vein walls can stretch too far,
  too, and will generally give way at a weak spot.
  That weak area will fill up with blood and
  balloon outward, taking a bit of the internal
  tissue with it. When this happens up inside the
  intestinal tissue, an internal hemorrhoid is the
  result. There are a number of things that cause
  an excess of force on the hemorrhoidal cushions.
  The most common reason is constipation, with
  diarrhea coming in a close second. Both
  conditions tend to result in severe downward
  muscular force on the area. Excessive sitting on
  the toilet also tends to cause them because the
  normal toilet sitting position removes any
  possibility of muscular support from the pelvic
  floor. That means that all of your internal bits
  are only held up by their tendon attachments and
  the hemorrhoidal cushions are hanging free in
  midair.

2

• The veins in question are meant to expand to many
  times their usual diameter in order to "inflate"
  the cushions. Of course, they are also meant to
  "deflate" again, meaning that the walls of the
  vein are much like a rubber band. However, a
  rubber band can be overextended, unable to
  retract again. Vein walls can stretch too far,
  too, and will generally give way at a weak spot.
  That weak area will fill up with blood and
  balloon outward, taking a bit of the internal
  tissue with it. When this happens up inside the
  intestinal tissue, an internal hemorrhoid is the
  result. There are a number of things that cause
  an excess of force on the hemorrhoidal cushions.
  The most common reason is constipation, with
  diarrhea coming in a close second. Both
  conditions tend to result in severe downward
  muscular force on the area. Excessive sitting on
  the toilet also tends to cause them because the
  normal toilet sitting position removes any
  possibility of muscular support from the pelvic
  floor. That means that all of your internal bits
  are only held up by their tendon attachments and
  the hemorrhoidal cushions are hanging free in
  midair.

3

• The veins in question are meant to expand to many
  times their usual diameter in order to "inflate"
  the cushions. Of course, they are also meant to
  "deflate" again, meaning that the walls of the
  vein are much like a rubber band. However, a
  rubber band can be overextended, unable to
  retract again. Vein walls can stretch too far,
  too, and will generally give way at a weak spot.
  That weak area will fill up with blood and
  balloon outward, taking a bit of the internal
  tissue with it. When this happens up inside the
  intestinal tissue, an internal hemorrhoid is the
  result. There are a number of things that cause
  an excess of force on the hemorrhoidal cushions.
  The most common reason is constipation, with
  diarrhea coming in a close second. Both
  conditions tend to result in severe downward
  muscular force on the area. Excessive sitting on
  the toilet also tends to cause them because the
  normal toilet sitting position removes any
  possibility of muscular support from the pelvic
  floor. That means that all of your internal bits
  are only held up by their tendon attachments and
  the hemorrhoidal cushions are hanging free in
  midair.

4
Internal Hemorrhoids

• Internal hemorrhoids are by far the most common
  variety of hemorrhoid. They descend upon almost
  any provocation. While they are usually not
  painful, they can cause quite a bit of stress and
  anxiety because of their propensity to bleed and
  to prolapse out of the anal canal.
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• Hemorrhoids aren't fun no matter where they come
  from, but the strategies for treating internal
  hemorrhoids and external hemorrhoids are often
  quite different. Internal hemorrhoids originate
  from delicate, absorbent and relatively
  insensitive intestinal tissue, while external
  hemorrhoids originate from the skin on the
  outside of the body.
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• Internal hemorrhoids start with stress and strain
  on the large, elastic veins of the hemorrhoidal
  cushions lining the end of the anal canal. These
  hemorrhoidal cushions serve as a warning system
  for the "urge to go" and to protect the delicate
  anus and rectum from the tearing, twisting and
  turning forces frequently experienced in that
  area.