I am bed ridden with painful external hemorrhoids. I tried Preparation H but it hasn't worked. Does anyone know how to get rid of these hemorroids without surgery?

I feel this lump near my rectum last week… i carefully examine it and it's still the same size.

right now it's now hurting when i touch it nor any signs of blood when releasing my bowel or showing on toilet paper. Nor it doesn't itch.

Is this External Hemorrhoids? or something else? Should I go to doctor?

the only reason why i think it might be hemorrhoids is because it's a lump — that's all.

they say get preparation H to solve this?