Hi. Thanks for your query. Noted your history of having hemorrhoids for 29 years, since the birth of my first child. They have bleed off and on for years. Now, they seem to be bleed all the time, I have trouble getting my anus clean and it is very painful. IA new little white lump has now appeared and it is painful when touched. What is it? Should I be checked for cancer? This is most probably due to chronic anal fissure. The only way is as follows: First of all, get a clinical evaluation, per-rectal examination, ano-proctoscopy and colonoscopy to get the proper diagnosis . Secondly, get operated, biopsy done so that cancer can be ruled out. Have modulation in diet. No stress or anxiety helps in good recovery. Laxatives Sitz bath are all associated treatments.