I have a small, painful, bump on my perineum. It looks like another fold of skin almost directly above my anus. It is slightly painful to clean myself after every bowel movement. There are always a few small streaks of blood on the toilet paper. The blood looks bright red. It rarely itches and when it does it is extremely minor. It does not appear to have any white or yellow fluid in it whatsoever. Could it be a hemorrhoid? Something worse?