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Hi UjohnjC...I struggle awful with this too.  Sometimes I just cry.  I was able to quite things down a bit with lomotil (prescription) and B&O suppositories from Dr.  Still awful sore though.  I have a fissure that won't heal.  I only use warm soft papertowels with vaseline while wiping and then I leave some vaseline on.  I take sitz bath with epsom salts as often as I can too.  I try to stay away from anything that has alcohol in it burns really bad.  So sorry to hear of your pain.  

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