<s>[INST] My 20 yr old daughter has a large lump or ball of skin at her rectum. It has bleed when she s had strenous bowel movement but not constantly. Years ago in her early teens she tore her rectum from straining and she frequently gets explosive diarrhea. She thinks this lump is a hemmorhoid and found info on the web that it should be cut off. I am not sure its a hemmorhoid based on that fact that there is no more pain just a huge lump of skin making it had to wipe the area clean. What do you think? Could it be a polyp? What type of Dr. should she see? [/INST] Welcome to Chat Doctor I am Chat Doctor and I will help you with your problem I have gone through your question. Lump at rectum that bleeds painlessly and there is history of straining in the past, is probably hemorrhoids. There are four degrees of hemorrhoids, first two are treated conservatively and with injection chemotherapy while grade 3 and 4 needs operative management. In your case it appears to be grade 2 or 3, and needs a review by general surgeon. Who after performing Digital rectal examination and photocopy will assess the grades of the disease and will then guide you about further course of treatment.  Hemorrhoids are common conditions and easily treatable. Newer techniques like Hemorrhoidal artery ligation operation (HALO), have much better results with shorter hospital stay and early return to active life. I hope my answer will help you. Do rate my answer if you like it. Regards </s>