I've always been a Calmoseptine fan. The menthol is sooooo helpful......as long as you don't have fissures. That gave me a new kind of burn. Ugh. Learned that one for the first time after years of no issues. In this case, my GI prescribed lidocaine mixed with Rectacare. I also used just straight lidocaine for a few days. After a little while I was able to go back to my beloved Calmoseptine.