Hello. Thank you for posting your query at DoctorSpring.com
I understand your concern.
You seem to have external hemorrhoids and since its just pea sized it is probably still Stage I. Mostly this can be managed by conservative management, however in your case it has been bleeding intermittently. Since it has already become crusted, i will advise you to apply Preparation H around 2 times daily for the next 5 days, it will act as a local vasoconstrictor and will stop your bleeding. Also to prevent excessive itching, a combination of topical hydrocortisone and mupirocin ointment can be applied right after applying the preparation H, with a 10 minutes gap between both the doses. After the medicines have absorbed, you can use the wipes as you have been using.
In case it is infected, mupirocin will surely help and hydrocortisone will reduce the itching. If the bleeding is not settling down with preparation H, then i will advise you to get yourself examined by your local general surgeon. There are other non surgical very effective methods such as rubber band ligation and sclerotherapy. They are very effective in controlling the bleeding and it does not recur. After examination, if the doctor feels you need to be operated, then you can go ahead and get yourself operated, since properly operative hemorrhoidectomy has a recurrence rate of only 2-5 %.
Feel free to discuss further,