Real Pain-hemorrhoids
The principal causes of hemorrhoids are too much straining during bowel movements, caused by constipation, and sometimes extended periods of diarrhea. In some people especially women constipation can occur due to water retention from pre-menstrual syndrome. Hypertension especially portal hypertension also causes hemorrhoids, this is due to the reason that the connection between the portal vein and the vena cava. Other factors leading to rectal vein pressure is obesity and pregnancy, and vitamin E deficiency.