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Without treatment, pellagra can be fatal, which is an important factor to be considered, since its low prevalence in developed countries causes missed diagnosis and delayed treatments (12, 54)
Other symptoms include itching and bleeding There are three types of hemorrhoids External hemorrhoids are distal to the dentate line Internal hemorrhoids are proximal to the dentate line Mixed hemorrhoids are located both proximal and distal to the dentate line Internal hemorrhoids (above the dentate line): no pain, but bright red blood per rectum Internal hemorrhoids typically manifest with bleeding after defecation
