Pathologic state cccurs when internal or<unk>  plexus become engorged, prolapsed, or thrombosed
Bleeding is usually limited (surface of stool, on toilet tissue, at end of defecation)
Passage of blood clots requires evaluation for colon lesions
Passage of blood clots requires evaluation for colon lesions
Constipation and straining at stool
Frequent diarrhea
Older age
IBD
External hemorrhoid
Anal fissure
Internal hemorrhoid
Anal fistula
Anal malignancy
Rectal prolapse
Anal tags
Anorectal abscess