Knowledge base, issue management, development ticket tracker integration, auto-replies, templated responses, etc. We had/have a lot of the same issues I know other small businesses have, so we built a tool to fix it.
Feedback welcome, of course. We eat our own dog food, so file anything you find/any suggestions on http://help.tenderapp.com/
I'd drop you a line but your profile doesn't have contact info in it. My email is idoh@idoh.com if you want to ping me, I'd love to see what can be done to address this problem.
It's a problem I've been thinking about lately (currently #3 on my list of problems to solve).