There was some excellent research in late 80's or early 90's on using an ice water sitz bath. Get much better results, relief, decreased swelling etc. I've recommended it over the years. Moms who have the nerve to try sitting in ice water tell me that it is great. Physiologically, makes sense. Warm feels good but causes vasodilation and more swelling and congestion in the area. Witch hazel pads (Tucks) are also great. Anusol HC for severe PP hemorrhoids also works well. I've never heard that mom can't BF with these meds. Back to the altar! Pat Young in SNJ