Chronic hemorrhoids

I’ve had hemorrhoids off and on for the past 2 years or so and usually I can use prep h and witch hazel pads to get them to go away, but lately it’s been like a month and nothing is working. This morning I noticed some blood on the tissue when I wiped back there which has never happened, so I think I need to go to the doctor. I’m so scared. Has anyone had a procedure done for their hemorrhoids? 😭

Edit: I’d like to stay anonymous but I can actually see the hemorrhoid outside my butt hole so I assumed it was external. Will the suppositories still work for that?