I think i have external hemorrhoids, these might also be internal but not sure. they came and healed naturally about two months ago, and this afternoon when i was having a bowl movement i saw blood on the tissue as i did the last time.

If you avoid constipation and do not strain, new hemorrhoids will not form unless there is another reason like increase in intraabdominal pressure or liver problems. For current internal and external hemorrhoids, you will need to see a surgeon who can discuss benefits and timing of the surgery. In the meantime you can use sitz bath, local cortisone application for symptoms. Hope it helps.