My answer was a bidet. It honestly changed my life....
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If you have gone to a doctor to rule out things like pinworms, all I can say is based on experience I spent a few years trying every combo of cream and powder and cleaning well, I removed many things from my diet they say can irritate it like citrus fruits, coffee, alchohol, spicy food etc. Some things helped a bit but when I bought a bidet attachment it changed my life. Honestly. Stop playing around and get a bidet attachment, go full blast up your "poop shoot". It makes such a difference that when I go away from home for a day or two without it the itching comes back. The TOTO brand is excellent but there are many cheaper ones on the market.
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