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Severe anal burning

I have had non stop anal burning for over a year.  I have been to a variety of doctors and tried every cream available.  Creams work for about five minutes. Doctors treat the symptoms. No one seems to have any idea of what may internally cause this.  Yes, there are fissures, but why?  It burns like crazy before and after bowel movements,which are frequent. I wake up every few hours at night.  I’ve had my j pouch for over 10 years with on and off pouchitis, but this is a whole different thing.  I currently take entocort and Imodium.  Any ideas?

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