I have suffered from nearly consistent GERD for last 2 years and now repeatedly get dryness & cuts, as diagnosed by a general surgeon, over and inside the anal region. Lox 2% before relieving,  Cremagel in morning and Smuth at night after sitz bath was the last prescription. What can I do that dryness in passing stools doesn't happen?  I have given up certain foods to some extent which trigger difficulty. Any effects in long term usage of above creams since it takes minimum a week to soothe dryness and facilitate smooth bowel movement. Many many Thanks & Regards to the Helping Doctor, in advance.