You seem to have hemorrhoids/piles.
Hemorrhoids are cushions of submucosal tissue containing venules, arterioles, and smooth-muscle fibers that are located in the anal canal and are thought to function as part of the continence mechanism and aid in complete closure of the anal canal at rest.
Excessive straining, increased abdominal pressure, and hard stools increase
venous engorgement of the hemorrhoidal plexus and cause prolapse of hemorrhoidal tissue and bleeding.
You might be having
first-degree hemorrhoids (which bulges into the anal canal and may prolapse beyond the dentate line on straining).
Proctoscopic examination by a surgeon is needed.
Bleeding from first- and
second-degree hemorrhoids often improves with the addition of
dietary fiber, stool softeners/laxatives, increased fluid intake i.e to avoid
constipation.
There are many over-the-counter topical medications for piles but these are mostly desiccants and are relatively ineffective for treating hemorrhoidal symptoms.
Hemorrhoids are not hereditary but familial occurence is due to dietray habit ( typical low-fiber, high-fat diet associated with constipation and straining and the development of symptomatic hemorrhoids ).
Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist