Saw a vascular specialist for the first time yesterday. She confirmed that I have both of these conditions and calls is vessel wall instability since I have a combination of the two. She is looking into the possibility of an infusion of either lidocaine or ketamine. Has anyone else had success with either of these (if you have both conditions)? I often see posts for iloprost, but haven't seen these drugs so much. However, I am in the US, so that maybe is the difference. She also mentioned that some have found relief with topically using an ointment for hemorrhoids. Any comments on that? Thank you.