Ok so after a few months of hurting I decided to try the nitro .2% cream my doctor prescribed way back in January.

I must say, my discomfort is reduced 70% since starting it. I am surprised yet pleased. I do fear that when I finish the dosage the evil will return.

I also have diltiazem on hand.

Fingers crossed, a shout out to new sufferers, get to a doctor and try these prescription creams if other things aren't helping.

Great! If the nitro is helping you, that is wonderful. If you still have pain when your dosage is finished, ask for more. You can use it long term.

Seriously, I would not wait to see if other things are helping or not. I would include nitro, dilt. or nifedipine into your regime from the get-go. What ever else you are doing in the way of laxatives, diet, increasing water, using a sitz bath, one of the creams should be a part of your treatment.

Yes, I assume I would only take 1 cream at a time, right?

I have lost 30 pounds in the last 5 months, by reducing carbs like pasta and bread, and adding green smoothies, also this had a profound effect on the bowel, in a good way.

these creams can be used 2-3 times/day.

But probably only one kind, not two or three during one course of treatment. I edited my post to make that a bit clearer.

Congratulations on the new diet and weight loss by the way. That's got to help you feel loads better.

Thanks it does feel good, now I have to maintain the program and not fall back to bad habits