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5 year old with major butt burn!! Help

My 5 year old just had the last surgery for his j pouch. He had to go into Pull Ups becuse he is not controlling his BM's. We are changing him well over 10 times a day and his butt is so irritated. It is now bleeding alot. Every time I change him, it keeps bleeding.

Any help on how to heal this? We have tried all diaper creams, calmoseptine, antibiotics, fungal cream, and powders. I don't know what else to do.
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