Thanks for writing in to Healthcare Magic!
The flap or raised area of skin seems to be a chance finding and not related to the internal piles and the bleeding episodes. It can be a skin tag, a cyst
, a papilloma, a lipoma
Actually the problem has many possibilities so the best way is to get a local examination by a physician of your locality.
It as such does not seem to be a very serious problem.
If you have any further query please let me know I would try to answer it for you.
Wish you a great health!