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I’ve had pouch since early 2000s I have dealt w many issues however lately I’m struggling w lots of burning after each n every bowel movement. I’ve used calmoseptine ointment for years but now that doesn’t seem to help much. Currently trying a 5 % lidocaine cream w not much help. Any suggestions

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I am only 18 months post op and I have tried every ointment and the lidocaine. Nothing ever consistently worked well.

I take 4 Imodium per day. It seems to slow down my transit time enough for the caustic digestive fluids to be reabsorbed before exit.

This greatly helps my situation. I don’t know if it will work for you, but it is my only viable solution for the fire shooting out of my butt 😩.

Even plain zinc oxide will usually permit healing if it’s applied *after* each BM, so the barrier is always in place when it’s needed.

I also strongly recommend a bidet attachment on the toilet. There are fancy, expensive ones, remarkably inexpensive ones, and everything in between. Thorough cleaning without scraping makes a big difference for me.

I don’t know how many BMs you tend to have per day, but if it’s already in the 4-6 range then adding or increasing a bowel slower, like Imodium or Lomotil, may not be ideal. In any case, if you haven’t tried it already, psyllium fiber could potentially make a big difference. Stools that are too liquid tend to be fairly irritating, and the psyllium adds bulk to the stool. I just follow the package directions with breakfast and dinner - YMMV.

Good luck!

I think you have received some excellent advice here.

Your next step will be to try the recommendations, but I would ease into them.

Some or all of the proposed solutions might or might not work in your case. By taking it slow you will avoid unpleasant side effects.
At the end of the day you will know what works for you.

good luck!

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