Is this piles? What grade is this? Or something worst?

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Take some Tucks medicated pads with witch hazel and directly contact them GENTLY. Then try to push then back in…VERY GENTLY.

I’m not sure what the yellowish stuff is, but I hope it’s not infected. I would go see a doctor and see if you need some antibiotics if it doesn’t get any better within a few days of using the pads to push them back in.