Have suffered on and off since I was pregnant over 24 years ago. Had a colonoscopy last month 3 internal piles found but nothing done as they weren’t bothering me. After a large bowel movement early Saturday morning I’ve been in agony. It looks like a very large internal pile coming out I’ve tried pushing it back in but after a few seconds it comes back out again. Currently using anusol cream. Any ideas what I can do to shrink it?