been 8 yrs and would like to pass on some help....what works for me might not work for you.
Do I get butt burn? only if i eat the wrong stuff - Fried foods like fried eggs/sugary stuff like ice cream kill me the worst. i also avoid cinn. and msg because for some reason it burns.
use cream? A n D ointment works the best - get the cheap walmart brand. if i have butt burn i put some on before going to bathroom.
toilet trips lenghty? yeah sometimes 10 to 15 min. I dont time it just wait till i am empty. u know when it happens...
i also use no meds....they were messing up my brain and my stomache so i quit about 3 years ago...i poop more often but feel much better...
bad days? no not really just everyday I have to be aware of lengthy time with no bathroom access. i also stand at work all day so i go much more on those days - gravity maybe?
good luck hope this helps - also wash the area whenever possible and keep butt dry - i change my underwear a lot for comfort and helps the burn
David