Brief Answer:
Laxative, Sitz bath, avoid long hours of standing and straining.

Detailed Answer:
Hi.
Thanks for your query, an elucidate history and a clear picture.

I can understand your concern about avoiding the surgery even at this stage and your wish to undergo treatment other than the surgery.

To recapitulate: started 8 months ago - bleeding for 2 days - symptomatic treatment -manual insertion - symptomatic treatment with laxative and antibiotic - Since then 'although they protrude' no symptoms of pain or itchiness or bleeding - now 2 days bleeding & venous mass came out - pinkish and shiny ( seen in picture) - started laxative and hoping bleeding will stop in a day or two ...

Your Query is related to :
- Can it be left unattended
-need of medicines
-Treatment options beside surgery

With the picture you have provided, these look to be in need of treatment.They are prolapsed. If the y remain outside or come outside even after being manually reduced they can not be left alone. This is because there are chances of complications of thrombosis and infection.

Medicines: you have already started laxatives, please continue in a dosage that makes the stool soft and not loose. The dosage is person-dependent, meaning you have to decide your dosage after permutation and combination.

When there is a bleeding, there is a breach in surface and stool has the maximum number of bacteria, hence it is wise to take antibiotic and metronidazole. In addition you can take probiotic.

The treatment options other than surgery at this stage are :
Continue medical management.
Diet as suited.
Sitz bath ( in a tub with warm water at least twice a day)
Avoid continuous standing, strenuous work.
Relaxation in a lying down position.
You may discuss about some medicines like Oxerute if it is available in your country.

You may consult a Proctologist and discuss about banding, if he is willing.

I hope this answer helps you, please feel free to ask for more or to clear any communication gap if you feel so.

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Brief Answer:
Cefixime / Oflaxacin whichever suits you under the Prescription of a Doctor

Detailed Answer:
Thanks for your feedback.
You can take Cefixime or Oflxacin whichever suits you as per the Prescription of your Doctor.

Yes Oxerute is very well available in XXXXXXX for both oral and topical preparation

Nice to know that you are in XXXXXXX and you are going to see a Specialist.
Good night

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