Please help a ftm mom out....

Anon because hella embarrassing but I'm a ftm and have developed a hemorrhoid. I'm currently having a hard time passing a BM and trying not to strain. What can I do to help. I've heard a sitz bath with Epsom salt can help. Is it safe to use hemorrhoid medication. Currently waiting for insurance paperwork so I dont have an OB to ask. Can i take a fiber supplement as well? I've known people who needed surgery because theirs got so bad and now I'm really scared.

Thank you for the suggestions and encouragement ladies ♡