He suggested an anti inflammatory to get things settled down. It did however help relieve the spasm. This was for me much easier to handle and seems very much to relieve the spasms. This is a very strong drug. Some of these side effects are gastric bleeding which cause 20,000 hospitalizations in the US each year.
Caution is well advised.
In my view as a patient long term use of this drug is not for me, but to wind down an acute situation with a few days usage it seems to do the trick. A second medication that he was able to recommend after a reference from a knowledgeable colleague was a suppository called Protozone which is antibacterial and anti-inflammatory. This is made or distributed where I live here in West Quebec by a company called Technilab. 10.0 mg - Esculin 10.0 mg. The anus being tender I have been using Johnson and Johnson KY jelly as a lube to get the suppository in place painlessly.