Congestion of Sinusoids
Increased internal anal sphincter activity
Loose and hypertrophied connective tissue
Constipation
Decreased vascular tone
Sliding down of anal cushions
Artarterial hyper perfusion
Strangulation
Vicious cycle
Neovascularisations
Fibrous tissue hypertrophy
Congestion of sinusoids and increased anal pressure
Congestion of sinusoids and the already loose and hypertrophied connective tissue
The Key Problem, We need to address