Hi I am from England visiting my mother here in Baton Rouge she is 86 and generally in good health except for lung fibrosis, and the occasional fluctuation in blood pressure, her main problem is her rectum whic is giving her a lot of discomfort and burning . She has been to a re tum doctor who says there is nothing wrong, and doesn t need surgery. I cannot make put if she has piles or not her re tum doctor has only given her a barrier cream and also said she can also use a hydro cortisone cream combined with pramoxine this cream however, burns on application the barrier cream is soothing and relieves her. Is there anything I should know or be aware of? She says it feels like there are lumps in her bottom. She has slight constipation problem which we help with extra fibre, water and milk of magnesia.