 [ Symptoms ] do external hemorrhoids have to be directly on the anus  if there is a swollen mass a little less than an inch away from the actual anus could that be considered an external hemorrhoid if not what else could it be  [ Disease ] hi it seems that you have a personality disorder with superadded anxiety as a dominant factor you should consult a psychiatrist and a counsellor as only this can help you out taking anti anxiety medicines will help temporarily thanks