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The walls of the vessel are generally able to withstand whatever strain is placed upon them during the first pregnancy, and usually the varicosed condition does not develop until after there have been several pregnancies. As a rule, both legs are similarly affected, but if only one, it is more likely to be the right.
Bleeding piles are caused by congestion of the rectal blood vessels. The constant nerve irritation causes muscular contraction, consequently circulation is interfered with, producing a condition of engorgement. Owing to lack of nutrition the structures become brittle and quantities of the varicosed capillaries unite to form pile tumors. The only rational plan is to remove the cause.
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