Dr. Hanif warmly welcomes you! Thanks for consulting at my virtual clinic. I have carefully worked through your case, and can realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns. Its a disease called hemorrhoids or piles. It has a defined reason of portal hypertension behind it. The hanging mass that is pinkish brown is actually the dilated and tortuous veins. They sometimes bleed. The treatment of hemorrhoids depends and starts with demarcation of the degree of hemorrhoids. You may have first degree second or third degree depending on severity of disease. All have different treatment options. A general Surgeon will define the degree of hemorrhoids by examining you in his clinic with a proctoscope. You need to consult a General Surgeon for the same. Avoid constipation as it may cause bleeding on straining on defecation. Take plenty of fluids and high fiber diet, fresh fruits, vegetables and salads. Avoid sodas and fast food. No caffeinated drinks and energy drinks. Hope I answered all of your questions. In future, if you need further, detailed and quick assistance on any health issue, feel free to click on Ask me a question directly from my profile. Have a wonderful time ahead. Regards! DR. MUHAMMAD M. HANIF USA