Picture included: What should I do? Advice please…

30, female, 8 months post-partum, suffered with hemorrhoids on and off from about 18.

After giving birth my hemorrhoids were massive, they’ve shrunk and now left me with this mess! What can I do about this? Did anyone have anything that looks similar?

It can be sore, uncomfortable, hard to wipe, I pass a bowel movement at least once a day and I don’t have to strain so not diet/constipation related.

Any ideas anyone?