<s>[INST] I have a quarter sized lump on my anal opening that bleeds fresh blood mostly all the time it is kind of tender and does not itch or anything like i have had it for a couple years too embarrassed to tell my doctor there are times i wake up with dried blood in my boxers quanity quite a bit for what this is what is it? [/INST] Hi ! Good evening. I am Dr Shareef answering your query.The lump on your anal opening could be a prolapsed hemorrhoid which would be bleeding on friction with clothes. The tenderness could be due to super added infection on it.When you visit your doctor, you should have complete faith in him and tell him all the details of your problem without any hesitation. This way you would be better examined by your doctor, and would derive maximum benefit from his services apart from getting  yourself treated well. You have to get it examined by your doctor /surgeon for a definitive diagnosis and treatment.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef. </s>