Hemorrhoids can be refractory to conservative treatment. There are various options to consider as the next step. This can include
minimallyMinimally invasive heart surgery invasiveGestational trophoblastic disease
Invasive
Minimally invasive heart surgery
Noninvasive
Noninvasive test
Squamous cell carcinoma - invasive techniques such as cryotherapy, sclerotherapy, banding, or laser
coagulationCoagulation factor ix
Coagulation factor viia.
If the hemorrhoids continue, then surgery may be needed.
You may want to confirm the diagnosis of hemorrhoids by pursuing a sigmoidoscopy to exclude any more serious causes of bleeding.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Hope this helps.
Good Luck, Amelia