As for the Fire in the Hole, that side effect has been a doozy. I am using unscented baby wipes with aloe
after going to the BR (Huggies), hemorrhoid cream, sometimes A&D ointment (for any outer excoriation), prescription Lidocaine 3%/Hydrocortizone 0.5% cream, and hemorrhoid suppositories. The symptoms wax and wane but I think the hemorrhoid cream and the hemorrhoid suppositories have helped the most. Also the Huggies baby wipes. They are essential.