Hi, have a j pouch since 1999 and pouchitis just once. After going, I use a lot of toilet paper with water and clean myself good. I use Udderly Smooth body cream(from walmart) on the affected area. I am dehydrated a lot of the time, but try hard to continue drinking as much as possible.  I can eat anything I want, but if I eat spicy food I know I will pay for it later. I have constant diarrhea, 7-10 time  24 hrs.  I use Lidocaine 3% cream when I burn and that numbs the area. It is an RX medication. The best thing I take to control the diarrhea is Morphine 20mg/5ml solution and that is RX also.(MORPHINE IS AN AGE OLD HELP FOR CONSTANT DIARRHEA)  I take 2-3 cc before lunch, 3-4 cc about 6 pm and 4 cc about 10 and only get up 1-2 times at night. If it wasn't for that,  I would be almost homebound with 20-25 trips to the bathroom. The Morphine does not make you high or anything as it is such a small amount.  I also take Tums if I am going to eat the spicy foods and it helps coats the insides of my stomach.  I try to have my main meal of the day at noon so that the foods can go all the way thru me before bedtime. I don't eat breakfast and I can go anywhere in the mornings, but have to be careful what I eat before I get home.  Also we just snack late afternoon.  My wife has the same problems and we both take the same medications. Hope this helps------Clint------