Wonder if it could be a yeast or fungal infection?  For relief, try using a sitz basin. Sitting in very warm water will bring relief and the warmth will increase blood circulation to your insides, which might heal as well. It doesn't sound like a fissure, which you would definitely recognize as shards of glass burning with every BM. Unless it's the start of a small fissure?  Sorry I'm not much help, but just some suggestions. 

Hi Winterberry. I didn't thought a yeast or fungal infection could be the problem because the itching is on the inside of the anal canal. I will look for some ointments and hope it works. Thx for the tip. I now do have some sharp pains but not all the time. It's more the itching which is driving me nuts. If it's the start of a small fissure could it be the reason for the constant itching inside even if it doesn't hurt with every bm? 

I really hope it's something that can be cured because life would be so much better (even without a colon). 

thx
Alex

Do you see your surgeon for check ups? I see it hasn't been too long since your emergency surgery but an appointment with your surgeon or gastroenterologist might diagnose the itching inside. Not itching with every BM might simply mean the tear or itchy spot might have healed over, then the next BM might open or irritate the spot again. I avoided spicy and acidic food and sauces during my first year because it would burn and irritate. Even too much fiber or semi raw food, like a salad, would irritate coming out. Your skin and tissues will mature and toughen up, but I would still make an appointment, if the spot doesn't heal.

Thanks again for your reply. It sounds logical. I hope it’s just an adjustment issue of my new organ. I’m calling my surgeon tomorrow for an appointment. 

Yeah, its an anal fissure; it happens to me from time to time; I can even pin point a specific spot within.

I assume we have folds, grooves, creases and contours up there and from time to time, little tears or abrasions occur, which are engulfed within the acidic output.

What works for me, which sounds rather uncomfortable but isn’t; is the application of ilex protectant paste applied within; which I’ve  been applying in such a manner, every now and then for quite a few years and, without issues; other than the relief of the internal itching.

However, it does say on the box and tube of ilex paste, “FOR EXTERNAL USE ONLY.”

Hi Strange, Thx for your answer. I got ointment (diltiazem) from my surgeon and use it the same way you do. I have to say it helps. the internal itching is no longer constantly present. What a relief! now i can continue to learn how to live a normal life with a pouch.

when I read the stories of others about all the problems which can occur I should not be dissatisfied. but if your life was turned upside down out of the blue last year, you can't help comparing your current situation with your life before. I’m sorry for the complaining but at the moment even a relative good functioning  pouch sucks. 

That said I will try to make a positive contribution to this forum where i can. I recently found a natural product called Tormenteva. it helps to make the stool thicker. it works very well for me. 

Gr Alex

Sorry It’s called Tormentavena.