Anthony- when I had a jpouch, Dr. Shen prescribed me a cream of lidocaine and hydrocortisone - it soothed, numbed and relieved my anal area. It was prescription but so worth it- Kara

If you can get a bidet, even an inexpensive one, you're likely to be glad you did. 

I had butt burn for 23 years and tried every thing possible, such as cases of zinc oxide etc.

I now have hand held bidets to rinse the acid off my butt after each of the 16 or so movements a day and it has been pure relief.

Yeah, I've had tremendous success from using ilex paste.....  ......I recommend it so often, forum member, by now, probably think I'm on commission.

My use of ilex was to treat the festering and oozing skin around the Stoma of my temp loop ileostomy; once applied I felt instant relief, no pain, stinging or discomfort and within 3 days my skin had completely healed.

I continued to apply ilex paste around my Stoma, as a precaution until takedown and I never experienced any further skin issues.

Since takedown, I initally applied ilex after each and every BM but once my appietite improved so did my output, therefore, I guess less bile acid and less of a need to apply ilex.

I rarely apply ilex now, although, the moment I feel the slightest itch or burning sensation, on goes the ilex.

Anthony, did you end up getting some ilex? If so, how is it working? I'm 4 weeks post takedown and currently look for a new cream/paste to help with my butt burn. I'm currently using recticare to numb the area and then applying coloplasts citric-aid moisture barrier skin past. It's working ok but I'm looking for more relief.

Hi,

Yeah, i would recommended it for butt burn for sure. I found that if I've had a bad case of it, and I've got some bleeding down there from wiping too much i use the Ilex as its like a thick paste. I would recommend some vaseline as it acts like cement and can seal your butt shut ha! But the thing does work for sure and lets the area heal. I now find I can use normal barrier cream every time i go, meaning no need for the Ilex unless i have a serious case of butt burn!

Ive found over the last 4 months everything is trial and error. Give it a go and see how you get on. 4 weeks is still very early and the butt burn will start to get less!

Anthony, thanks for the info and encouragement. I think I will give it a try.

Look worth considering: I was in a similar position to the point where a baby wipe touching my backside was excruciating. I actually self-diagnosed pouchitis and the GP I went to agreed. Put me on Flagyl and the problem resolved within hour, yes hours - nothing short of a miracle.

So does everybody with butt burn have pouchitis, no of course not. Do some with butt burn have pouchitis, yes and there is plenty of evidence. So I take metamucil smooth twice daily. My stools art generally (for someone with a J-Pouch) well formed. When off antibiotics, the stools are not well formed, very acidic and just gets continually worse. So I have now chronic pouchitis. I go off the antibiotics, the acid content skyrockets within about 3 days and I'm in pain. Reapply the antibiotic regime and all is well.

I've been on antibiotics for several months now and not a single instance of butt burn except for the week I went off them. My GI and I are now trying to figure out what would be the best antibiotic for long term use.

Caveat and as I tell my wife, not a doctor just stating the facts. I am a firm believer in the duck theory, quacks, feathers, webbed feet and a bill, probably a duck. 

Like Strange said, you'd think I was on commission for Ilex paste. Use it externally every night, even though not having butt burn. Preventative! During day don't use though will if going out for awhile. Have used a little internally when had cuffitis but not frequently.. Soft, high quality toilet paper a must! Metamucil type product not only firms stool but reduces acid. Have also used sqirt  bottle with hot water during rough times. But the butt burn, thanks to Ilex, is the one thing I have had success controlling! Still struggling with high frequency and very unpredictable output  unfortunately.

good luck!