Bloody stools, long protruding left anus, what grade of hemorrhoids and need surgery?

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Hello doctor! I am 30 years old this year and more than 1 year ago I went to colonoscopy and was diagnosed with ileal ulcer and grade 1 internal hemorrhoids. After that, I was prescribed by a doctor to treat colon and internal hemorrhoids did not need to be treated. However, recently, I often have blood in the stool, blood sometimes drops and the left anus protrudes longer than the right, after having a bowel movement, it retracts by itself.
So the doctor asked me, if you have bloody stools, and the left anus is long, what degree of hemorrhoids do you have and do you need surgery? I heard the surgery was very painful so I was very worried. Ask your doctor for advice and answers. Thank you sincerely!
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Hello! According to the symptoms you describe, the doctor diagnosed you with grade 2 or 3 hemorrhoids. Accordingly, this hemorrhoid condition is suitable for Longo surgery. Currently, with the development of modern medicine, the hemorrhoid surgery methods limit the great pain after surgery, so you don't need to worry too much.
However, to ensure safety and limit side effects, you should choose hemorrhoid surgery locations at reputable hospitals such as the hospital of Vinmec Health System. Here, the doctors will perform an examination and consider the appropriate treatment and surgery methods for you. Thank you for trusting and sending the question: "If you have bloody stools, long protruding left anus, what degree of hemorrhoids do you have and do you need surgery?" to Vinmec. Looking forward to one day in the near future can meet you and consult more in-depth. Best regards!

Answered by Resident Doctor Le Thanh Tuan - Gastroenterologist - General Surgery Department - Vinmec Nha Trang International General Hospital