Butt burn has nothing to do with stomach acid. The acid reducers work fine for reflux/heartburn and peptic ulcers. For butt burn a barrier cream (e.g. zinc oxide) applied consistently in advance *prevented* the problem, at least in my case. Treating the problem after the burn is much trickier.

I have very high acidic output. My surgeon prescribed Questran. It is a powder you mix with juice. It was a butt saver during the first year. I no longer need it. Questran lowers your output's acidity by binding the acids to the medicine. Good Luck!

Questran binds bile acids, and that can certainly help some folks. Stomach acid is a different story.

Well that's what I would be looking for something to reduce bile acid if that's the stuff coming out the rear end causing the burn.

While it makes no sense to me either, there are those who had successful treatment of butt burn by taking acid blockers, like Pepcid or Prilosec. I would suspect it was because they also had some upper GI stuff going on too, so it was sort of an added "insult." Maybe dyspepsia causes increased bile production too. In any event, there is no harm in trying it. One problem with Questran is that it also absorbs other medications, so you have to be careful not to take it near any other medication times. So, it can be a hassle. Plus, it tastes nasty. They do have a pill form, Cholestid or Whelchol, but it is more spendy.

It would be easy enough to experiment with OTC stuff.

Jan

Maybe look into Prelief. Who knows... I know for bladder (IC) people swear by the stuff since it removes the harmful acid in foods. Might work for pouches too.