Hemorrhoids and pregnancy:(

I'm 30 weeks pregnant and three days ago I discovered a huge external hemorrhoid the size of a grape:( it practically has its own heartbeat😫
I haven't suffered from hemorrhoids in years.
I'm terrified of giving birth with this horrible thing on me. Has anyone out there dealt with these during pregnancy? If so what has worked for you? I have tried witch hazel, preparation H, sits baths. Absolutely nothing is helping!!!!!! 
Is surgery the only option?

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