After exhausting my local physicians, I recently went to a Surgeon who specializes in colon & rectal surgery. I told him about my problem and without hesitation he said stop drinking coffee, in fact, cut out ALL caffeine and stop eating chocolate. I told him I didn't believe him. There's no way something so simple could alleviate a problem that has been plaguing me for 30 years. It wasn't easy since I love both chocolate and coffee (coffee was the hardest) but you know what? IT WORKED, I have been symptom free for weeks!! He also advised me to put a piece of cotton in my butt crack to cover my anus to help absorb moisture, this makes a big diff too.
I suffered for so long that I am still in disbelief. If you have suffered with this, I mean seriously battled this then you know how debilitating it can be. Late night showers, scratching, the endless creams & powders... Please take this advice. Despite the intense headaches in the beginning it has been worth it. The doctor said to me. "The cure is up to you, there is nothing I can do for you. Use the cotton and quit eating those items. 90% of my patients have been successful with this approach. " He said I can try to reintroduce them into my diet but I am not sure I want to. I kinda like being caffeine free. I sleep better too!!
GOOD LUCK!!