Hi UpjohnjC...I'm so sorry you are in so much pain. I know what you are going through. I have tried so many oinments and remedies for butt problems too. I found out that most of my pain is coming from a fissure also. Anyway, I use a sitz bath as much as possible (warm water and epsom salts), coconut oil, lidocaine gel at 5% (prescription only) and also the dr. has me using b&o suppositories (belladonna & opium) I don't use t.p. I use warm moist papertowels, the really soft kind. I've had my jpouch going on 26 years this week and the past 6 years I started to have issues. Before that ...nothing!!!
Patti