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Causes of Hemorrhage. Causes of Hemorrhage. Hemorrhage has many causes, including a bleeding disorder (e.g. hemophilia), a low platelet count, anticoagulant medications, a broken or ruptured blood vessel and severe trauma.
Ruptured hemorrhoids are typically caused by too much pressure on the internal veins surrounding the anus. When the walls of these veins are weakened by fatty tissue, infection, medications, or lifestyle issues, a small tear in the blood vessel wall can occur and release blood into the rectum.