Hemhorroids or an anal fissure

Hi ladies. I've been constipated lately, but the past couple days have been much better. I noticed a tiny bit of blood on the toilet paper the other day and have had some itching/stinging in that area. Today I noticed something "hanging." I'm sorry this is so gross! I'm surprised because I'm 13 weeks pregnant and not super constipated as I thought you had to be to develop hemhorroids. Thank you!!!