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There's an old science adage that says that for every action there is an equal and opposite reaction. This applies in physics and physiology, relationships and street fights, and in the body when it comes to hemorrhoids. Think of hemorrhoidal tissue as a series of tiny balloons. When balloons get blown up, there is tension on the external surface created by the internal pressure. As that pressure increases, so does the tension. And if it gets too great, the balloon pops. When pressure is created internally in the area of the rectum and anus, the veins known as hemorrhoids begin to blow up. But they aren't really meant to do that, so they get irritated and painful. What types of pressure are most likely to cause symptoms of hemorrhoids?