Tmi question about hemorrhoids

Ro

I’m dying over here. I never had them until i gave birth to my first. I got them from pushing and they went away after a week. I just got them back again and I’m 38 weeks. I’ve tried witch hazel, soaking in the bath with epsom salt, creams, and nothing is working. They seem to be worse and it hurts to sit and walk. I can’t imagine pushing with them being this bad. Help and advice appreciated!!!