I was sick for a few days ago with a stomach bug. At that time i had a lot of diarrhea and with that was straining because of it. I don't normally strain when i use to bathroom because i know i am prone to getting hemmorids. They come and go but are always pretty consistant on coming back. Right now i have this external hemmorroid that is fairly large. So big that i was able to take a picture of it which i have attached. I have been using wipes, iburphen, and suppositories but it is still very painful and inflammed. It wont go back in when i tried gently pushing it back into place (relaxed and in warm water) and when it does it pops right back out within an hr. They normally go back in and it goes away in a week or so but this time it just feels more painful and stubburn. It has been this way for 2 days now with pain level being a 7-8 on a 0-10 pain scale.Any suggestions? Is this an ER issue/urgert care? What could they do for me if i went to the ER that i am not already doing myself?