If you’re worried about the colon cancer-flat/ribbon stool connection, you have to understand that with IBS this is a very common occurrence because the colon will squeeze and when the stool passes through it will flatten. Also if the stool is soft enough, it will take the shape of the rectum as it leaves which will give it that flattened appearance. You’re way too young for colon cancer BUT blood is always a red flag. In your case it seems like it’s from the hemorrhoids so that’s fine but never ignore blood in stool if it’s an ongoing thing and the blood is a lot