This is embarrassing, but…. I have tested positive for herpes through a blood test, but I have never had an outbreak. My problem now is that I think I may have hemorrhoids (mostly internal), but I’m worried that maybe it is anal herpes instead? I have never had anal sex, but I have heard that you can still have an anal outbreak regardless.
For a few months now, I have seen a little bit of blood on the toilet paper when I wipe, but it has always been a small amount. There have been a couple of little tears now and then, so I figured that was the cause of the bleeding. I have had itching too.
The past few days, my symptoms have been a little worse. I’m not sure why I initially decided to do this, but I took a mirror to the bathroom and held it so that I could see my anus as I was pushing out. A couple really swollen looking and bright red things come out past my anus, and go back in.

I forgot to mention that I have been taking a diet pill, for about a month. I have been having diarrhea, but it started after I started taking the pills, so I think its related to just that. I say this to point out that I have not been constipated, so I haven’t had to push too hard to go to the bathroom. However, now that I see the swollen looking red things that come out, I feel like I am having to push harder because It feels like I need to push extra to get the stool to go past the red things. I know this is kind of gross, but I took a couple of pictures (clean) in case I can send them to someone to help with a diagnosis. I’ve been reading and it seems like my symptoms can fall under anal herpes, hemorrhoids, and even inflammatory bowel disease. Please help!

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