I've been suffering this for almost a year, and have tried EVERYTHING. Capscacin cream provides temporary relief, but other hemmorhoid or anti-itch treatments just make it worse. This last bout has been the longest lasting and the worst. Sadly, all my favorite foods (tomato products, cheese, soda, etc.) are on the list of possible irritants. This is an experiment to see if cutting out a single trigger can help. I will post again in a week and let you know how it goes. I'm a regular beer-drinker - usually 2 a night and maybe up to 4 on the weekends. As of today, I'm off beer entirely and plan to see if this helps. If I can identify the main trigger for me, maybe I can eliminate it.
I read an article (in a medical journal - not Cosmo or People or something) that said you can reach a \"threshold\" with a trigger food/drink. Exceeding that threshold can bring a flare-up until your levels go down, but of course by that time you may have scratched yourself into a worse situation (I sleep-scratch!).
If this doesn't work, my next move is to cut out tomatoes, then nuts, then cheese, etc. and see what happens then.
Wish me luck, and I will be sure to let you know how it goes. If anyone wishes to try eliminating a different trigger, please post and update. I'm sure we all have different body chemistries and there isn't a single solution for everyone, but nothing-lost-nothing-gained right?