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This is Dr. David
this sounds like you are pushing out a anal hemorrhoid out of your anal canal
or it could be a polyp or anal prolapse.
this doesn't sound like it is associated with rheumatoid arthritis.
you need to see a doctor and get a finger rectal exam to check if this feels like a hemorrhoid.
hemorrhoids are veins in your rectum and anus which can become very swollen from constipation and hard stools and can often bleed and become swollen and tender
your doctor can prescribe prescription steroid creams and suppositories to help calm down hemorrhoid inflammation.
at your age of 57, you need a colonoscopy to look at the inside of your colon as a routine screening test after age 50.
have you had problems with constipation and large hard stools where you have to strain and push down hard to pass the stool? this can often cause hemorrhoid veins to swell up