Blood during bowel movement, colour is bright red and sometimes strong. condition ongoing for some years - not hemorrhoid related. need more opinion?

Bleeding bowels: Yes, you do need more help. If you have not been to a colo-rectal specialist or a gastroenterologist you need to do so now. You very easily can have a anal fissure or fistula that will need to be evaluated. This is nothing to ignore.

Bleeding per rectum: Should be seen by a proctologist for a physical exam and a colonoscopy. Bleeding could be from a fissure, internal hemorroids, arteriovenous malformations, diverticular disease, cancer......