For butt burn, what has worked for me is avoiding all tomato products and high acid items like citrus fruit. Also avoid items high in fat, more fat equals more bile- which is also highly acidic and causes bad burn.

Go buy Calmoseptine if you do not have it, best product I have found among Vaseline, A and D, and Desitin. They sell them at Walgreens- ask them if you cannot find it. It uses menthol to soothe immediately following a BM, and uses zinc oxide for long term dermal health. Use wet wipes which I'm sure you already have, they make such a huge difference.

Sorry you are having issues. It sometimes takes a while for our bodies time to adjust to the new anatomy...just give it a little time

For the spasms there are antispasmodics you can take...you need an RX though. High fiber diet also helps me. I take 6 fibercon a day and a drug called Hyoscamine which is an antispasmodic. It dissolves under your tongue or you can get it in tablet form that you swallow. There are no side effects with it either. I have been a poucher for 8 years and over the past 2 have had issues with pouchitis and cuffitis and I am on a whole regimen of stuff but I do find the Hyoscamine to be very helpful with spasms.

In terms of butt burn, I agree that calmoseptine is the best... Hope you feel better soon!!

Alex

Thanks for the advise. I did buy some of that cream and it does work well. Monday I'm calling clev clinic and seeing if they can give me something for the spasms/cramping. But asking them for a perscription is like pulling teeth. I think it's bc of my age I just want to feel better and I just don't get why the np doesn't get it I know my surgeon would be ok with it. It's just frustrating.