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This works for me;Preparation H (cream is less messy) before and after every BM. Also soak in water as hot as you can stand it, with Witch Hazel in the water. Witch Hazel can be found in the Supermarket or Drug Store next to the Alcohol. It�s pretty inexpensive so I usually get several bottles to have on hand. (FYI) I did get this advice from a Physician.Also, regardless of whether you�re male or female I would wear a Feminine Napkin when having a flare-up. It�s not worth the mess. My Husband had to do that once. It bothered him a little at first but he got over it.My Mother has a severe problem just like yours and her Physician has given her prescription suppositories, which usually works for her.Good Luck
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