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!

But it’s very difficult. I can barely wipe my anus. It’s burning & bleeding.

I have had 2 children by C-section and during pregnancy I developed hemorrhoids. They have never really bothered me except for being annoying. When I was 6 weeks pergnant with my 2nd baby back in early 2008 I had a few days of moderate pain. The pain wasn’t so bad I couldn’t carry on my daily life but it was bad enough that sitting and certain positions would be painful. The hemorrhoid bled for about 3 days straight but it wasn’t heavy bleeding just like spotting when you have your period. I had to wear a panty liner because of it. After that it has caused me no issue except for being annoying. Well last night I noticed it was bothering me more than usual and it was a little painful when sitting down or doing a lot of acitivity. I grabbed a mirror and took a look at it. It looks likes a piece of red skin is hanging out of my anus and inside of the hanging skin is a pea sized lump and it’s slighty purplish color. The hangy skin has been there since my first painful experience last year but the pea sized purplish lump has not been to my knowledge. So what I’m asking is if this is a thrombosed hemorrhoid and it had burst last year and it re developed? The pain I’m having right now isn’t horriable but I do notice it. So if is one what should I do? Do I go see my Dr? Will it heal by itself? Thanks!

Should I text 911? I’m really scared that my organs are falling out of my anus.

I have both internal (for sure) and external (I think) protruding out of my anus (this one is extremely painful).
I’m in my (very) early 20s.