Hi, Thanks for using HCM.
You need to get operated for it. Continued blood loss can result in anaemia
and if piles progress it can get thrombosed and results in emergency, which needs to operated on emergency basis.
Now a days stappler procedure are available, less painful, you may neeed less rest, can resume to work early.
You can consult a surgeon and discuss with them.
Hope I answered your question.
Feel free to ask me if you have any further queries.
Wish you good health. Take care.