Hi, Snash! I have had my J pouch for 41 years and the first few months, burning and itching made me miserable. I soon realized that the tiniest secretion could cause irritation, so I tucked a small cotton ball at the opening of the anus. That collects any seepage, sweat or moisture before it gets on the skin. I haven’t had an issue with my skin since 1981. I hope this little tip helps you.