Hello. I see that sitz baths are recommended but one of my major symptoms is a burning feeling. I tried a warm sitz bath yesterday but could only stand a few minutes as the burning intensified in the warm water. Today is the first day I am missing work because of this. I just started diltiazem which seems to have lessened the spasms but the burning does not seem to go. I've tried desitin, a&e ointment, Vaseline. I would appreciate any and all suggestions.