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External hemorrhoids and skin tags will feel like a small lump near the anus. Avoid Aspirin and non-steroidal pain medications like Ibuprofen for 10 days. Proctologists are doctors who are specialized in medical conditions affecting the rectum and anus. NCBI Bookshelf. The pain from anal fistulas is more pronounced when sitting down, having a bowel movement or when coughing. Straining during a bowel movement, lifting, and other vigorous movements may cause the blood vessel to burst. A: It is normal for hemorrhoids to bleed with bright red blood.
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