I am a 31 year old white female. I suffer
Yes you should bleeding should never be neglected.
Hello and thanks for asking query on this forum,
Yes you should go to emergency room as there is XXXXXXX blood coming out from anal canal.It's rommended to go for a per-rectal examination (by any medical doctor, preferably a Gastroenterologist/Gastro Surgeon) for further evaluation if available in ED or atleast you can get a referral from there.
As Band plication is not successful in your case you are left with three options as mentioned below-
1)Cryotherapy: Cryotherapy ablates the bleeding hemorrhoidal tissue with a freezing cryoprobe.
In case if this is also not successful then you have to move to invasive surgical procedures like-
1)Hemorrhoidectomy: Excisional hemorrhoidectomy is the most effective treatment for hemorrhoids with the lowest rate of recurrence compared to other modalities.Success rate is more then 95%.
2)Stapled hemorrhoidopexy-A circular stapling device is used to excise a ring of redundant rectal mucosa proximal to hemorrhoids and resuspend the hemorrhoids back within the anal canal. Apart from lifting the prolapsing hemorrhoids, blood supply to hemorrhoidal tissue is also interrupted.
It depends on preference of doctor treating you.
Initially go to ER get a digital and proctoscopic examination by a doctor and see what he says.
Hope I provided you with the information you wanted.
In case you need further advice feel free to ask.