Should I be concerned about bleeding fistula?

Hi Audrey,  Yes you should. I have a few questions for you. When did the bleeding start? Did you consult with anyone? How long has it been since you went to the doctor's to check it out? I suggest you to seek professional help immediately. Anal fistula surgery can be an option but that, in my opinion should be your last resort. You need to verify the reason for bleeding and seek professional help as soon as possible. Also, try not to eat spicy food and consult a nutritionist about this problem, they will provide you with a detailed food plan for your illness. Best regards.