Have had hemorrhoid for about 2 years. used prep h and doesn't work. hem. now bleeds. what should i do? without having surgery?

Hemorrhoids or not?: Are you sure you have just hemorrhoids? Bleeding from the rectum that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.) or a bleeding source further upstream. Depending on your age, risk factors, current medication (aspirin, nsaid's, anticoagulants can cause bleeding), get evaluated.