I live in the Caribbean, Trinidad. 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? I think we might have calcium channel blocker down here, I checked numerous pharmacies they say they only have GTN Nitro in tablet form for heart condition but I didn't ask for calcium channel blockers in cream form as yet https://www.amazon.com/gp/product/B00BCN4K5K/ref=ox_sc_act_title_1?smid=ATVPDKIKX0DER&psc=1