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One other suggestion - don't wipe w toilet paper. Use a baby wipe then pat dry w paper. After that apply ointment. You can also try prep H wipes ilo baby wipes. I have the same problem and find tolerable relief using the above. If no relief..persue other option w  Dr Bo Shen - head of GI at cleveland clinic.

I hope this helps?
Originally Posted by JanetRose3:

Does anyone with a j-pouch suffer from chronic rectal itch?  

Look, I'm 364 days after takedown so I profess not to be an expert, but I know itching for me is a precursor to butt burn and a result of overly acidic output. Unlike a 'normal' itch which goes when scratched, it seems to be the initial signs of irritation. If I've had something (even mildly) spicy to eat I get the itch followed by burning. So it is followed directly by some blood (usually the delicate tissue just inside the anus) and a night of frequent BMs.

 

The latest issue I had was with rolled oats (or for the geriatrically inclined, porridge), low in cholesterol, little or no fat and some protein. Great I thought, little did I know also produces copious quantities of gas and increases bile acid.  Not so great. Intense itching followed by burning and a really bad night. So, like the guy who stops banging his head against the wall and the pain stops, I stopped the oats and back to normal, minimal gas, acidity seems normal and no butt burn.

 

My guess (and it is only a guess) is that your itching is diet related and is (probably) the precursor to increase in acid and followed by butt burn. In OZ we had a brilliant hydro-cortizone cream called hydrozol. Actual butt burn relief within 15 minutes after application, I kid you not. The maker no longer produces it. There are others with supposedly the same ingredients, but they do not work - go figure.

Originally Posted by Scott F:

If it's fungal then the barrier creams might make it worse by keeping the area moist. Some folks have reported good results with Zeasorb powder.

I find that powder does help help me as well in certain cases. I do it all, ointments,Desitin cream (zinc oxide), Talcum powder and PrepH ointment or suppository.

Like, Zman, I use Prep H most of the time but I have had success with zinc oxide creams and also powder, depending on the situation. I do have a small hemorrhoid that flares up and that is when I have the most leakage, itching and a tiny bit of bleeding. I then go to a Prep H suppository. In other words I have an arsenal of remedies that I used and change up. 

I, also, have come to taking baths. That helps me all around, mentally and physically.

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