A few years ago I developed what I first thought was a hemorrhoid. Couldn't really see what was going on, but really, really painful. Tried baths and Preperation-H, lots of fiber. Didn't help that much. I finally went to my doctor who said it was a fistula!! Yikes. Then sent to a surgeon who agreed and wanted to operate. Everyone said it was the only way to "fix" it. (But also said one couldn't be sure it was a fistula until you found the other "internal" end. ). Well, maybe it wasn't a fistula, but I cured whatever it was by cleaning area really well with witch hazel and then applying coconut oil. Took months, but my doctor was impressed on my next yearly physical. Said area was completely healed. I haven't had a problem since. Love both these products and use them for lots of issues.