Cool water soaks, dermoplast spray or other otc. may or may not help. A dr can prescribe a prescription for other meds. Make sure to eat lots of fiber and try not to get constipated. If theses things don't work, it may be time to see a surgeon.
i had them so bad after i had my daughter, i would almost cry everytime i used the restroom, the only thing that REALLY helped was sitting in the tub with about 2 inches of hot water (as hot as you can stand) everytime i went to the bathroom, also i know you said the cream doesnt work for you, but have you tried the wipes? the only cream i found that worked really well was the preparation H cooling relief, it was more of a gel then a cream
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