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If you have external hemorrhoids, you may experience the following: Anal itching One or more hard, tender lumps near your anus Anal ache or pain, especially when sitting Too much straining, rubbing, or cleaning around your anus may make your symptoms worse

Explain that you're seeking treatment for a medical condition and emphasize that this will ultimately benefit both you and the company

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We still see this patient to this day and her pain has still gone away