The first thing to do is get a PSA test. Most people have no symptoms at all when they have prostate cancer. Prostatitis is not a significant symptom of prostate cancer. Hemorrhoids are definitely not a symptom.

Prostatitis is the inflammation of the prostate gland, causing urinary issues (frequency, burning) and deep pelvic pain, while hemorrhoids are swollen veins in the anus/rectum causing itching, bleeding, and surface discomfort. While both can cause rectal pain, prostatitis relates to the urogenital system, whereas hemorrhoids are a vascular, anorectal issue.

It is possible to have both.