A young man in his late teenage years presented with a six-month history of painless bright red bleeding in the stool and on wiping, accompanied by subjective weight loss. The patient had been constipated since the age of 5, while he used osmotic laxatives and regular toilet routines during his school years, but stopped after finishing school. Routine blood tests including complete blood count, electrolytes, and inflammatory markers were unremarkable. He was initially treated for suspected hemorrhoids with a high-fiber diet, increased fluid intake, and stool softeners. When symptoms did not improve, he was referred for surgical evaluation. Digital rectal examination revealed a soft lobular lesion that was mobile and not attached to the underlying musculature, which was confirmed by colonoscopy. Colonoscopy did not show any other pathology including inflammatory changes.