Piles like symptoms. This situation?

Hi, Recently I saw this some flesh coming out of my anus, as you can see in the picture I've shared. I had bleedings some times while passing stools for few years (3-4) but it was like once in 3-4 months. But recently I've been having lot of pain and difficulty while passing stools and generally it increases if I eat spicy food. This seems like piles symptoms. I was looking for some medicines for this, may be some fibre supplements that would ease this situation? I also want to mention, I had an accident an year ago, in which my back got hurt but xray didn't show anything doctor said everything is normal, but it used to pain slightly even now. I'm not sure whether that is linked with this. Thanks.