My 70 something year young Dad is struggling with anal scarring due to piles surgery in 1965 India (anus got narrow over the decades) and bitched anioplasty (to widen anal area) in 2008. Colorectal surgeon examined my Dad and also saw internal ulcers. She prescribed compound cream to treat the ulcers that includes 1. Diltiazem 2. Lidocaine 3. Hydrocortisone Now my Dad has severe, intolerable anal itching. After bowel movement he washes with water (like people do in India), and he softly pat-dries with damp cloth. The itching (and pre-existing pain) is so intolerable that his hands shake in fear Everytime he has to clean after bowel movement. The Colorectal Surgeon advised my Dad to apply Calmolseptine, but that made the itch FLARE up. Like adding gasoline to fire! So far, the only thing that is not making the itch worse is A and D ointment. Not making it better though. Today we went to Gastroenterologist. When he did exam of sinus he diagnosed as "chronic inflammation" And when he was going to prescribe Lidocaine I said the compound that included LIdocsine is what caused the itch in the first place. Only thing he advised was to continue A and D ointment and see original Colorectal Surgeon for follow up. Desitin make itch worse and Dad is scared to try Analpram HC. I know Doctors are trying their best and they are pressed for time. Somehow we are not connecting the dots. What Aryuvedic, Hone Remedies can Dad try? Preferably a protectant, rather than risk having another flare up (no witch hazel, etc) By the way, he eats full fiber diet (no dosa, pizza, rice, naan), takes probiotic, drinks plenty of water, and stool softener, sends, citrucel, psyllium fiber, lactulose, Calmol 4 suppositories for constipation (even thought stools are soft like dash, yet very little). Now he is alternating between constipation and diareahha (Gastroenterologist says this is irritable bowel syndrome) Any guidance is most helpful.