I have IBS-C and have developed an internal hemorrhoid. What is my best treatment option?

I have constipation predominant IBS with occ. bouts of loose stools but mostly hard painful ones. Recently, the straining for the (lack) of bowel movement seems to have created an internal hemorrrhoid that pokes out during bowel movements and is causing a good deal of pressure and pain. I happen to be in an incredibly difficult time at work right now making taking off for a doctor’s appointment a last choice, although i could go to an urgent care after hours if i thought it would be best, and meant that I didn’t have to miss work tomorrow. What should I do? I’m on a very high fiber diet that includes both soluble and insoluble fiber and its done nothing, so please don’t start with the "more fiber" comments.