What's the best non-prescription remedies for hemmoroids that also have anal leakage & blood leakage out of bathroom? (already had tests and rxs)

Prevention: Keeping stool soft with extra fluid & fiber & stool softener will help prevent straining & thus aggravating hemorrhoids. Medicated wipes with witch hazel help sooth itching & shrink them somewhat. Suppositories with Hydrocortisone can further shrink piles. May need treatment by proctologist to remove them for long-term relief.

Psyllium Fiber: If you want to only care for this without any surgical intervention, then psyllium fiber or an equivalent is likely the best treatment for long term. Make sure you purchase unflavored psyllium. Start with a teaspoon a night mixed in 16 oz of water every night. Unless they are stuck out and causing significant pain or itching, surgery can usually be avoided.