The can be very painful when enlarged and thrombosed clotted.
Unprotected receptive anal intercourse with a stranger is the most common risk factor I encounter.
Of course, the script doesn't give them a whole lot to work with and bears the lion's share of the responsibility for the tedium of the siblings' goings-on.
Rectal bleeding with mucous, urgency.
This may be a minority opinion, since other viewers have found their performances compelling.
Patients report pain, bleeding, discharge, and tenesmus rectal urgency.