23rd August 2023

A 65-year-old woman comes to the clinic with a history of painless rectal bleeding for the past 2 months

A 65-year-old woman comes to the clinic with a history of painless rectal bleeding for the past 2 months. She also reports a sensation of incomplete evacuation after defecation. Her past medical history includes hypertension and type 2 diabetes. On examination, you find painless, soft swellings at the anal verge.

What is the most appropriate management for this patient?