I'll look up the medical library skill first, then provide a detailed hemorrhoids history-taking format.

Now let me search the medical library for hemorrhoids content:

Good hits. Now let me read the most relevant sections - Fischer's Mastery of Surgery (surgical textbook with clinical presentation/diagnosis) and Rosen's Emergency Medicine (clinical features), plus Sleisenger (evaluation):

Now let me read more from Fischer's Mastery of Surgery for the complete surgical clinical presentation and diagnosis section:

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