Hello. I had my j-pouch surgery in September of 1991 at Mayo/Rochester by dr Pemberton. I have had a few minor issues thru the years such as bouts of pouchitis. But nothing too severe until the past year. I have had periods of severe rectal burning which has gotten progressively worse. It is not surface related, but deep. I cannot seem to find an answer or treatment. It’s gotten so bad in the past couple of weeks that it has affected most areas of my life and will wake me from a dead sleep. I’ve tried antacids, topical creams, etc. my GI doc here recently retired and am searching for one more familiar with my surgery. Looking for help/guidance/answers/solutions, etc. Any advice or theory’s would be of great help. Thanks in advance.