Last month I had razor blade pain that I think was from anal fissure & hemorrhoids. I don’t know, maybe cuffitis? It’s been an ongoing problem for years. When it’s bad I do hot sitz baths & then I started using Calmoseptine ointment after every bowel movement and it has worked wonders! I also have a bidet. I tried many other things & I can’t believe how much the Calmoseptine helped. Bought it off Amazon.