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PATHOPHYSIOLOGY (BOOK BASED) PREDISPOSING FACTORS - Age 30 and above - Pregnancy Heavy lifter PRECIPITATING FACTORS -

Constipation -

Increase pressure in rectal veins

Straining during defecation

Shearing of mucosa

Sliding of the structures in the wall of the anal canal, including the hemorrhoidal and vascular tissues.

Veins become swollen, inflamed and distended