I understand completely - I am at year 3 post J-Pouch surgery; the But Burn is the single worst thing about my Jpouch. I have gathered some takeaways from the kind folks posting what helps them,some of these have brought me a little relief.
Here are a few of my thoughts:
0. Step Zero and perhaps most important, "Everyone is Different"; however you are aiming for output that is not runny and not to solid. This is can be as challenging as throwing a dart and hitting a bullseye from 200 yards. Remember what you enjoy eating in the am can and will Burn in the late am\early pm ; I like this guide: http://gut-less.blogspot.com/2...09/j-pouch-diet.html
1. Be sure to use a Barrier Cream such as Calmoseptine, Ilex and or ZincoFax. I am still trying to determine which one works best for me... Everyone is different.
2. Do not use to much pressure with Bidet sprayer; will cause tissue damage and spread the burn everywhere..
2. Be sure to use medical gloves when using Bidet, applying barrier and or pat drys. I have had the output literally remove the skin off my hand (make sure you are not allergic to Latex - if not get Latex free; . I like - Gorilla brand Vinyl Gloves - Amazon has them)
3. Some folks seem to suffer with But Burn more than others. I often have wondered if this has to do with the length of time someone has suffered with Ulcerative Colitis. In my case I endured 16 years before I had to have Colon removal or die.. aka hard headed Could part of the BB issue be do to damaged floor muscles? I suffer a bit of rectal leakage no matter how good a day I am having.
4. Sitz baths can be fabulous. On a real bad day I also apply 5% Lidocaine Ointment to numb the tale section. Your Doctor can prescribe Lidocaine and it is covered by insurance somewhat; over the counter offerings as well.
Hang in there...