From your history of heavy bleeding and weakness, it implies you need clinical examination by a surgeon.After evaluation, plan of management will be decided.

You require per rectal examination with proctoscopy. Are you experience constipation or pain in abdomen?

Tests Required: The main test is usually a physical exam, digital rectal examination, and in some cases, an anoscopy or colonoscopy may be performed to rule out other conditions Laser Surgery vs. Kshar Sutra: - Laser Surgery: A modern, minimally invasive treatment where a laser is used to remove or shrink hemorrhoids. It usually involves less pain, quicker recovery, and a lower risk of recurrence. It’s often used for lower-grade hemorrhoids but can be effective for higher grades as well. - Kshar Sutra: An Ayurvedic procedure that involves tying a medicated thread around the hemorrhoid. The thread gradually cuts off the blood supply to the hemorrhoid, causing it to fall off. It can be a good option for more advanced cases but takes longer for recovery compared to laser surgery. Which is better? - For most people, laser surgery is a faster, less painful, and more modern option with a quicker recovery time. - Kshar Sutra- may be suitable for those who prefer Ayurvedic treatments, but recovery takes longer, and the procedure may be more uncomfortable.

Please see a General surgeon as soon as possible He /she will guide you with the treatment