oatmeal
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I have had this on and off for most of my adult life, and I'm now 59! I've spent a fortune on creams etc. The only thing that has helped was told to me by a dermatologist a few years ago. Get some (uncooked) porridge oats (oatmeal) put inside an old pair of tights, tie off the end, and put in a warm bath. Squeeze the juice out and soak in the bath for a while. Do this nightly. The other advice was to wear boxing gloves at night.....doh
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After you have been to the WC use the enema to remove any remaining stool. Leaving the stool can cause the irritation. If you feel the itch coming back during the day use the enema to clear the lower bowel. It's been a revelation and has made my life bearable once more. Try it, as it may help you. Regards.