Not necessarily, can also be hemorrhoids from too much sitting and a bad diet.
But you (and I) should definitely see a doctor.

What causes hemorrhoids?
Pressure building up in your lower rectum can affect blood flow and make the veins there swell.
That may happen because of:

• Pushing when you poop
• Straining when you do something that's physically hard, like lifting something heavy
• Extra weight, like obesity
• Pregnancy, when your growing uterus presses on your veins
• A diet low in fiber
• Anal

Risk Factors:

• Too much sitting
• Age
• Pregnancy
• Genetics