Dr dx internal hemorroids- bright red bleed,pain -like a tear, itching,w/ bm- can feel tiny lump outside of anus. is this normal?ho constipation 32yo

Old external hemorr.: Internal hemorrhoids and external hemorrhoids share the same underlying veins and are often found together, although not necessarily enlarged/inflamed at the same time. An external hemorrhoid is usually very painful with sharp pain and feels different than the burning/pressure of an internal hemorrhoid. When an external hemorrhoid resolves, it a little non-tender "skin tag" next to the anus.