I recently had a colonoscopy and they found what they called an external 'Hypertrophied anal papilla(e)'. Otherwise, everything was good as far as the colonoscopy. Is this the same as hemorrhoid? I have heard other names also as 'skin tags', 'piles'. Are they all the same? Also, I have a desk job and sit for long periods of time. For example on Friday's I work 16 hour days. I have also exercised faithfully last 10 years or so lifting heavy weights. Could this cause hemorrhoids?