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Use of a running and anal irritation irritating substance described by the person. The scrapes sometimes become irritated, which causes yet more itching. Not running and anal irritation episode of anal itching requires immediate evaluation by a doctor. Sometimes a biopsy a small piece of skin removed for microscopic examination is necessary. Chronic constipation or diarrhea, straining during bowel movements, and spending long amounts of time on the toilet are some of the reasons hemorrhoids may start to swell.
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