....I have fecal incontinence and often, too often, so sore in that area and no longer take sitz baths re bladder infection, my husbnd has had anal cancer and used preparation h in Canada but i refused until one last week and I must say it did help but i dont want to become dependent on them type thing,.. where i live not enough doctors and if not very serious (on their scale) we wait some months if not a year...I wish you the best J