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== '''Risk factors''' == * Prolonged sitting and straining * Chronic constipation * Other less important factors: ** Age ** Diarrhoea ** Pregnancy ** Pelvic tumours ** Anticoagulation/antiplatelets (may not be causal) * There may be an aetiological relationship between the presence of a portosystemic shunt at the superior haemorrhoidal veins, and development of actual symptomatic haemorrhoids, but it is uncertain. Some patients do develop true varices within the anorectal mucosa.
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