Advice for Piles treatment. Advice.

Related medical history: Sigmoidoscopy done in 2018- ruled out polyps or other intestinal conditions. Anal Fissures diagnosed in 2018 Internal Haemorrhoids(grade 1-painless bleeding) diagnosed in 2018 Present(June 2021) symptoms: No pain since 2 years after following fibre rich diet and taking stool softeners. Recurrent painless bleeding once in 1 or 2 months.(blood visible on stool) Brief Summary: I was suffering with painless bleeding after defecation. However, soon pulsating pain also started occuring in anal region. I was diagnosed with Internal Haemorrhoids and Anal Fissures in 2018. I religiously followed fibre rich diet and active lifestyle. After one year pulsating pain in anus subsides and I don't have any pain. However, once in a month or two I do notice painless bleeding. I recently visited a General Surgeon and he advised me for Laser surgery and Internal Anal Sphincterolysis. I asked for little cheap and conservative treatments which he said not possible. Please advice.