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External hemorrhoids are usually found beneath the skin that surrounds the anus. An external hemorrhoid is a hemorrhoid that occurs outside of the body in the veins around the anus. Caused by excess straining while passing stool, lifting heavy weights, and pregnancy, symptoms. External hemorrhoids are located underneath the skin that surrounds the anus, and are lower than internal hemorrhoids. If an external hemorrhoid prolapses to the outside (usually in the course of passing a stool), you can. Hemorrhoids, also spelled haemorrhoids, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed the unqualified term hemorrhoid is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating. External hemorrhoids often result in pain and swelling in the area of the anus. Learn more about what causes them, other associated symptoms, tips for relief, and information on surgery. External hemorrhoids can be identified more easily than internal hemorrhoids simply because of their obvious nature. You can feel external hemorrhoids at the base of the anal opening. Thrombosed hemorrhoids , though technically considered internal hemorrhoids, can turn into external hemorrhoids once they begin to protrude from the anal opening.