Hi Dr Andrew, ive recently noticed that my anus has

Patient: Hi, ive recently noticed that my anus has been quite itchy (abnormally) and i first thought it might of been worms. a few days ago i noticed bright red blood on my toilet paper after passing stooles (which i might add was slightly painful)So i decided to take a photo and this wasvery alarming to seeCould you help me out?what is it and am i under risk of cancer?

Doctor: