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Bulging veins, lump or bulge, painful bowel movements and protruding rectal material. Webmd symptom checker helps you find the most common medical conditions indicated by the symptoms bulging veins, lump or bulge, painful bowel movements and protruding rectal material including hemorrhoids, anal fissure, and constipation (child). Haemorrhoids (piles) are enlarged veins around the anal canal. 1 suffering from haemorrhoids (also known as piles) are very common and have been afflicting humans for centuries. They develop when the veins in the anal canal become abnormally swollen and inflamed. A lump in the anal canal or around the anus that feels swollen is most likely a hemorrhoid. It is important, however, to be evaluated by doctor in order to be diagnosed. Hemorrhoids are common, especially in individuals with chronic constipation. More pressure is required to pass the stool from enlarged rectum veins. Burning and itching sensation occurs in and around the anal area outside the rectum. Blood drops come out of the enlarged rectum along with the stool. The hemorrhoids patient suffers severe pain inside the rectum. Hemorrhoids are swollen veins that occur in the anus and lower rectum. They can be external, appearing around the skin of the anus, or internal. The anal canal is composed of muscles (sphincters) that control the passing of feces from the rectum through the anus. In addition to these muscles, the anorectal area is composed of glands, arteries, veins, and nerves that. External hemorrhoids are swollen veins that can be seen and often felt under the skin outside the anal canal. Usually they look like a small bulge and are the same color as the skin. Internal hemorrhoids are swollen veins that arise from inside the rectum. When internal hemorrhoids become large, they may prolapse (stick out) through the. most causes of anal swelling are benign, but some can be more serious. Learn about the causes of anal swelling and what treatment options are available. Enlarged veins around inferior rectum and anal canal are called hemorrhoids. What structure is the thickened circular smooth muscle around the superior two-thirds of anal canal that is involuntarily controlled? Internal anal sphincter.