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Prolapsed hemorrhoids can be interpreted as a complication of the internal hemorrhoids or as a stage of their evolution. They represent the exit of the internal hemorrhoid packages through the anus, during the defecation process. In most of the cases they appear in patients with predisposition to constipation, so its very vital for those who were diagnosed with internal hemorrhoids to follow the doctors instructions and to avoid constipation. Their appearance is usually clarified by the fact that during evacuation (especially evacuation of hard feces that form in constipated patients) packages of internal hemorrhoids can be dragged through the anal canal and anus outside the body. Another vital factor that contributes to the appearance of this condition is that the fibrous tissue that binds the hemorrhoidal veins to the surrounding stricter of the rectum can sometimes lose its consistency, becoming unable to hold the veins in their place and letting them slide along the anal canal. This situation usually occurs in elderly patients or in those with a long history of evolution of the internal hemorrhoids and is associated with high values of pressure in the venous system of the rectum. In the situation of the irreducible prolapsed internal hemorrhoids, the most vital and painful complication is thrombophlebitis, also known as strangulated hemorrhoidal prolapsed. Impossibility of reduction is given by rapid growth in volume of the prolapsed hemorrhoidal package …
