Conversation: The conversation between human and AI assistant.
[|Human|] Hi. I m 20, female, and have a history of hemorrhoids. Tonight I had a bad bout of diarrhea, and now have a hemorrhoid outside of my anus; but I also have one on my perineum near my vagina, and I find that it burns with Preparation H gel. Is it normal to get a hemorrhoid on my perineum and for it to burn?
[|AI|]  Hello and welcome to Chat Doctor, Hemorrhoids are caused by prolapse of anal skin along with thrombosed veins. Increased pressure in anal and rectal veins is responsible for hemorrhoids. Increased pressure as seen during defecation can cause prolapse of hemorrhoids or piles. However, it is uncommon to find piles or hemorrhoids near the vaginal opening since the vaginal veins are not congested. The lesion that you are seeing or feeling near the vaginal opening may be due to some other lesion. A clinical assessment is required. Consult your primary health provider for clinical assessment. Thanks and take care Chat Doctor.