I ditto Jan's recommendation for Ilex paste! Don't think I would have made it last 2 years without it! The order comes fast! I now order several at a time, including the jar of it which lasts a long time? If your son is really sore it may burn a bit initially but it will really allow it to heal. I find it also stops the leakage and I use always at night- think it blocks output helpng me get few hours of uninterrupted sleep. I use large quantity of Vaseline after each BM to clean it off and then start all over. Two years out I only use Ilex paste at night and for occasional flare, but nice to know I have good defense. I also think powdered Metamucil ( I actually like Walmucil from Walgreens because no Aspartane in it) absorbs some of acid. Imuse 3x day with meals (1 tsp. mixed in 2 oz. Orange juice.) If it continues, might ask Dr. for acid reducing drug call Colestipol. I was trying to phase it out but couldn't- I take max dose which is 8 per day. Good luck- hope he gets some relief soon!
laurie