★★★★☆
Im getting much better now with little pain/spasms after BM.
What really helped me: healthier diet, with lots of liquids, wash after BM. At home I use a plastic bowl that fits in the toilet pan and use it to wash and bath with warm water for 15-20 minutes to help with the spasms. Do it as many times as you need as it relaxes the muscles and you feel less pain. At work I use a plastic bottle, filled with warm water and wash after each BM. Very important always wash.
After wash, dry with toilet paper and apply CAVILON Cream. Got much much better after first time.
Every individual is different, but if you are in agony it is worth trying.
Good luck!!! This is really a pain in the butt....