Hello doctor,I could feel a lump near my anus from around 5th of December. About 3-4 days back it burst and I could see blood coming out while cleaning after passing stools.Now the bleeding has reduced, but I can still see blood oozing while I wipe the area with a tissue.I was diagnosed with internal hemorrhoids about 2 years back (had one instance of bleeding).But the doctor said I did not need any treatment then.Can you please see the picture (attachment removed to protect patient identity) and suggest the required treatment?
Hi. In this type of hemorrhoids (internal hemorrhoids), we first give medical treatment and if the condition does not improve, then we can consider for endoscopy and surgical treatment. Advice: Provide details about any other illnesses (if you have) because, we need to identify the causes of this problem. The lab tests that have to be done are CBC (Complete Blood Count) and LFT (Liver Function Test). Revert back with the reports and a detailed history to a medical gastroenterologist online for further follow up  Take care.