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Fourth-degree (or grade 4) piles permanently hang down from the anus and you cannot push them back inside, when they play up you must gallop, or run for the lotion
Sitting on your rubber ring you suddenly get a severe burning sensation and must run or gallop to the medicine cabinet to obtain treatment, hence Galloping Piles.
When your life is like shit already but more bad things keep happening. Bad news just pile up on top of each other.
Two days ago I lost my cousin. And today my gf broke up with me.
Shit piles up