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Anal skin irritation

Hello

I have Crohn’s Disease and have had a J pouch since 1998. I was diagnosed with Crohn’s in 1999 after the surgery to develop the J pouch. I have had trouble through the years with anal skin irritation. I had tried various creams and ointments, including hydrocortisone, antifungals, zinc oxide, and topical antibiotics. Does anyone have solution I have not thought of yet? It is a constant fight to keep that area clean and painless as I use the bathroom 10-12 times a day.

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