I am 17 years old this year, when I was a kid, I had constipation often, but when I was a little older, it was less frequent. A year ago, I saw that when I went to the toilet heavily, there was a lump of flesh inside, I suspected hemorrhoids. Today, when I went to the toilet heavily, I saw the flesh sticking out and wiped with a paper, there was a blood clot. The doctor asked me if there is a protruding anus with a blood clot, is it internal hemorrhoids? I thank you doctor.