Hi there. I have had my j pouch since April 2016. So I am fairly new to the pouch life as well. I found that taking 1 Ranitidine tablet in the morning really reduced the acid in my output. I also have found that if I spray 3m barrier spray on my anal area once a day that this protects my skin quite well. I also occasionally use pure vitamin E oil on my ailing skin. It helps to heal it quite well. I most recently started tak8ng omega 3 capsules and I think they are helping my ever troubled tummy. I am hoping things will improve as time goes by. We are newbies to this world and I have to believe it will get better and ghat this surgery was the answer.