Hemorrhoids CausesAuthor: bcured Hemorrhoids are a common health condition worldwide. Although many patients and clinicians believe that hemorrhoids are caused by chronic constipation, prolonged sitting, and vigorous straining, little evidence to support a causative link exists. Other risk factors historically associated with the development of hemorrhoids include the following: pregnancy, lack of erect posture, familial tendency, higher socioeconomic status, chronic diarrhea, colon malignancy, hepatic disease, obesity, elevated anal resting pressure, spinal cord injury, loss of rectal muscle tone, rectal surgery, episiotomy, anal intercourse, and so on. Varicosities caused from portal hypertension are a distinct entity from hemorrhoids.