I live in the Caribbean, so you are saying that this item on Amazon will not do the job in reducing sphincter spasm? BTW does very warm sitz bath reduce Sphincter spasm? https://www.amazon.com/gp/product/B00BCN4K5K/ref=ox_sc_act_title_1?smid=ATVPDKIKX0DER&psc=1
And a little goes a long way!
Calmoseptine Ointment Tube 4 Oz (3 Pack) https://www.amazon.com/dp/B00BCN4K5K/ref=cm_sw_r_other_apa_u.TDybPG7D2J2
It's our go-to as well. You can get it on Amazon for less.