Thanks! Yes, witch hazel and calmoseptine are a must! I have dealt with these before so I am managing, but owwwww. LOL
Good tip about the steroid cream. It does provide temporary, almost instant relief, but over time it's not the best option.
I also haven't had much luck with over the counter hemorrhoid creams. They seem to exacerbate the problem as well. I guess we pouchers are just special that way.