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Itching, Irritation, Burning - HELP CANNOT SLEEP

I am no stranger to butt burn but, I have tried witch hazel pads, A&D, Calmoseptine and Ilex to help ease this. I also use a bidet in the evenings/whenever I am home. I am 37 weeks pregnant so I am not sure what can be done to help at this point. I am in tears from the frustration. I cannot sleep more than 3 hours w/ out waking up to this irritated, burning, itching sensation. It is not the same as butt burn, it occurs no matter where I sit, how, if I am lying down or walking. Is there ANYTHING you can suggest that might be causing this? What should I do or use? I haven't had to see anyone since takedown for any pouch related issues so I a not even sure where to start with my current medical team. Do I get a referral to a GI or email my surgeon's nurse? Any help is much appreciated as I would really like to get some sleep. Confused
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