I rarely have issues, but found over the years that for me, regular old A&D ointment works the best. 

 

 

I've had the major BB.  Major!
NOTHNG!  Relieves it. Nothing.
I tried everything otc.
Over the counter.
You may get minor relief from otc things.
It  works better for some than others. But never really worked long term for me.  I would have it for up to and past a week at a time.
I use questran.  Works like a charm..
But it's not for everyone..... It's a prescription.
I also use lidocream.  Instant relief.  Prescription too.
When I say major... BB.... I had it so bad you just want to pull your hair out while going and feeling like actual lava was going across your rear end.  It was so bad I could not sleep.  It throbbed so bad it kept me awake.
Talk to your Dr.  If it's as bad as mine it affects the all waking hours if you can sleep.
I'm sorry for being so straight forward.
And suggesting prescriptions but those are the only reliefs I could find.  It was taking my sanity.  Yes... That bad.
I have not had an episode in over a month since using questran.  It binds with the acids and slows this gs down.
I have only used the cream twice when I needed it and it was instant relief.  Just numbs it. 
Richard.

Mysticobra - Thanks for the helpful, hopeful response. You learn so much on these chat rooms/forums. Your description of your situation sounds in several ways like mine, and I liked your dead-on lava analogy. 

I am going through it again right now.
Both those only work to an extent.
What I used all night... Yes all night.... Was Crisco.
Wipe with it very time and it goes on the crisco and leave some crisco behind.
But you have to use a dab on every wipe.  Every wipe.   That's important. That works very well too.
The lidocream works but if you are going all the time you just wipe it off.  It works when you are just flaming and done going back and forth and can keep it on.  Stops the burn and throbbed so you can sleep.

Butt burn solution,

 

Get Omneprazole (Prevacaid) excuse spelling - take pill each day for fourteen days as prescribed.  It greatly reduces acid in your system allowing your butt to heal and for less irritation.  Keep using Balneol or the generic brand all the time.  They sell little take-along packets you can keep on you when you're out.   Good luck Tom

I've had issues as well & triamcinolone, which is a prescription cream, changed my life. It's one of the ingredients in Nystatin, but alone it's only $4 a tube at Sam's Club's pharmacy without insurance (the combo cream is over $300). You can't use it long-term, but it basically stops the inflammatory process from all the irritation. It won't treat yeast or any fungal infections like Nystatin though, so make sure that's not a problem. I'm assuming you know about the importance of keeping the area as dry, clean, & stool-free as possible as well as medications for slowing down your GI system (Immodium, Bentyl, cholestyramine (not sure about that spelling), probiotics, Metamucil wafers, etc). Also, when I had insurance, I used Anamantle with good success. It's rx & treats inflammation too, but also has lidocaine to numb the area. But slowing things down & being anal (ha!) about hygiene to keep it as clean & dry as possible are the best solutions long-term! Good luck!