So I went to the doctor today.
He had a look inside, and to my surprise the inflammation was just moderate in his words. I was ready to learn that my pouch was falling apart.
I pushed for diflucan but he would not prescribe it as he is a GI surgeon and not a dermatologist. He said I should go to a dermatologist myself and figure out if I even have a fungal infection because diflucan is for serious infection of the whole body... sigh.
He did however give me Xifaxin. In his opinion it too kills skin bacteria but what do you guys think?
He also said that my awful ass-scratching butt burn from hell might be from excessive skin-irritating ileal content due to pouchitis. It might go away during course of Xifaxin treatment. God do I hope he's right... I cannot stand it!
I was in the same boat this summer. Xifaxin for a month. Helped a bunch and afterwards was off antibtioics for a good 2 months before another flare. Also had the worst embarrassing diaper kinda rash normal doctors were little help with. GI doc finally prescribed and antifungal cream that helped but since running out I’ve learned cleaning your bottom help and drying to really well after each bathroom trip helps. Blow dry after showers. Lotrinin foot powder at night if a little irritated. More and more I really think it’s a food allergy though. I’ve cut out dairy and many foods recently and it’s been almost gone.