Fast pulse, red blood cells little low, ESR high. Ana positive 1:640 speckled. Up back pain 1 yr blood in stool twice year or so. I do have hemroids?

See your doc. The symptoms you are giving warrant further wrork up. Hemorrhoid alone do not explain the high ESR and the fast pulse. It is important to know how high is the ESR and to do a complete physical exam to look for skin rash or mucosal ulcers. Only a physician can guide you to get an accurate diagnosis.
Possibly. The blood in the stool is most likely due to hemorrhoids at your age. All your other symptoms have nothing to do with the hemorrhoids. You need to see your doctor to be examed for hemorrhoids. You may even need a colonoscopy.