Dear welcome to healthcaremagic You dint mention if there is some bleeding during defaacaetion and those skin hangs are during defaecation. You may be suffering from some degree of piles and cause for this may be Persistent constipation due to poor dietary habits. Sitting on hard seats for prolonged periods. Lack of exercise. Due constipation straining is needed to pass the small hard stools, which causes congestion in the network of blood vessels located inside the anal cushions. Gradually, these vessels enlarge and form piles. so i suggest you do some homeremedies for you Butter Milk: It is the home remedy of choice in piles. l00ml well mixed with a little bit of black pepper powder, and salt should be taken daily for a few months at least. Ayurveda stresses upon daily intake of butter milk by the piles patients. Hareetaki, popularly known as harad is a good remedy for constipation. The decoction of the fruit peel of harad (Terminal a Chebula) is taken 1 cupful with jaggery at bed-time. Rose petals, 11 in number crushed with 50 ml of water should be taken for 3 days on empty stomach. This is a very good remedy for bleeding piles. Banana fruit should not be taken for 1 year along with this treatment. The decoction of sonth (dried ginger) is very useful in piles. It should be taken in the quantity of 30 to 50ml daily. Along with this there are some patent drugs in market like 1. Pilex ointment 2. Kankayan vati 3. Arsakuthar Ras 4.kanchanar guggul 5. Abhayaristha 6. Triphala for constipation Suggest you taking ayurvedic preparation of complete removal of disease from root write me info@rammani.com.np if any query and availability of those medicine Thanks