What does it mean to bleed out my butt after hemeriod surgery?

It means blood is escaping from your circulatory system. If you have questions the best thing to do is call your doctor. He or she will have the best personalized advice for you about this. It is not unusual for some bleeding after surgery, so it's most likely not an emergency, but do not hesitate to call your doctor. Your doc will have the best answer for you.