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Hemorrhoids are vascular cushions located within the anal canal. When structurally degraded or subjected to excessive pressure, they become pathologically engorged. Internal hemorrhoids originate above the dentate line and typically manifest as painless rectal bleeding during bowel movements. External hemorrhoids form below the dentate line, frequently resulting in painful perianal thrombosis when blood clots form in the superficial veins. 2. Anal Fissures rokko anal

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The canal is encircled by two major muscle groups. The internal anal sphincter operates involuntarily under autonomic control. The external anal sphincter is composed of striated muscle and remains under voluntary, conscious control to maintain fecal continence. Common Pathological Conditions