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Reply to "New to the pouch - what is normal?"

Hello, Brad.

A sitz basin might help heal and soothe the intense itching in the inside. You can find a sitz basin on Amazon or in a medical / health equipment store. They shouldn't cost more than $15. Fill it with very, very warm water and lower yourself slowly into the basin (the basin is meant to sit on the toilet rim -- lid up) and soaking your bottom until the water cools, will help heal the irritation or small cuts inside. Sitz baths will also help if you develop fissures inside. This is a result of frequency, acidic stools, straining.

What you're describing is normal for your new pouch. The feeling of going to the toilet as soon as you stand up is normal because your pouch is still learning how to live its new life as a sort-of colon. I experienced the same thing for several weeks, then it got much, much better. You're still healing and every week can bring a new issue, but it should get better as time passes. When I had pouchitis I was given a 14 day course of Cipro, which gave me instant relief from the frequency. I used Zincofax baby cream for the burning, and it worked because it's basically diaper rash!  Girlunky is so right about cleaning with water and dabbing dry before applying creams. Keep dry to avoid fungal infection back there. Try to keep it very simple: sometimes using too many things (different wipes) can irritate the area even more. Best wishes for your recovery.

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