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Here's why they form, symptoms to watch for, options for removal, and more. In the meantime, there are things you can try to help calm or quiet your anxiety…. But if that doesn't work, here are six other hacks to try. In addition to having similar symptoms, perianal hematomas and hemorrhoids also share many of the same causes. Hemorrhoids occur when veins of the rectum or anus become inflamed because of straining the area too much. A perianal hematoma is a pool of blood that collects in the tissue surrounding the anus. An anal fissure is a small tear or crack in the lining of the anus. Your doctor will need to give you a physical exam to diagnose a perianal hematoma. Anal skin tags are a common and benign skin issue.

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