need time i am 8 mounths some time still have but burn but is not like i was one week op post be patient with time soon will be good its not the food some food will give but burn but after op think that this is new to small instine and need time learn .

small instine is not like colon need time to accept that he will be the colon this is big trauma to digistive system with the time butt burn will go offline like push(urgency) butt burn leakage the fecals now go out no at ileostomy at small instine and every food will make you  problem

first time when i eat everythimg cause butt burn to me like spagetthi like everything first  two mounths you not drink alcohol eat what doctors says not fried and chocolate  no eat at two mounths

Chasmo, are you applying a protective ointment (like zinc oxide) after every bowel movement?

Thanks for the feedback, Borislav.

To answer your question, Scott....yes, I apply a series of three ointments after each BM -- lidocaine 5% (anorectal cream to address the burning sensation), Calmoseptine (which my surgeon and others have recommended) and finally Aquaphor (petroleum jelly to act as a skin protectant.) 

Chasms, have you tried using a bidet to help heal the raw skin and burn? You can get an inexpensive travel bidet for around $10-15 on Amazon. Brondell Travel Bidet. It will help keep the area clean. Pat dry carefully before you apply ointment or creams. 

Thanks, Winterberry....I'll consider that.

Chasmo, have you tried ilex skin protectant paste.

I've never actually used it myself to treat a diaper rash type butt burn, although I've experienced tremendous results when applied to the red raw, oozing and festering skin around the Stoma of my loop ileostomy prior to my j pouch.

Once the ilex paste was applied, within 3 days my skin erosion was completely healed and I continued to apply the ilex, purely as a precaution until my takedown surgery.

No I've not tried that but in reality, I'm not experiencing any sort of rash like symptoms.  The skin and "surrounding area" are perfectly fine - there's no rash or redness but the burning sensation exists....that's what's making it hard (at least for me) to figure out what to put on it or if it's completely related to my output.  I will say that it is at it's worst (worse?) when my stole is loose or almost all watery or loose.

I've experienced exactly what you've describe. I dont think it's due to a loose stools; maybe leakage but whatever the cause, I apply a small amount of ilex paste and by the time of my next BM, the burning sensation has gone completely and I've no need to reapply the ilex.

When I've applied the ilex, I find it's much easier to cleanse using wet wipes first, as toilet paper tends to drag and tear against the applied ilex, until its been lubricated and partially dissolved by the wet wipe.

I tend to remove all traces of ilex with a wet wipe and dab/pat dry with the toilet paper and re apply the ilex if necessary.

Does your burning sensation only occur during a BM or does it occur anytime, anywhere ?

If only during a BM, it could be an Anal fissure, just to the inside of the anal sphincter, which I've also had to endure. To alleviate, apply a small amount of ilex paste just to the inside of the sphincter with the tip of your finger.

It only occurs during a BM so I'll give the ilex paste a try.  Thanks!

Hi Chasmo

I get butt burn all the time. My routine for a bad butt burn day is,  swear a lot, pat the butt clean with soft toilet roll (I always get the good stuff, 4 ply, ultra soft. Our butts go through enough as it is so the little luxuries count ) I use bepanthen which is a nappy rash cream in the UK.  Love the stuff! Then imodium to try keep the number of movements down and I try to eat really low fiber food during the day, bread, pasta, potatoes...ect so that when I do go to the toilet my stools would be soft as not to aggravate the butt burn. Also when I have finished going to the toilet, cleaned and applied cream I do just sit on the toilet for 5 minutes before standing. I don't know if it is the same for you but if I rush to get off the toilet the motion of standing really causes a stinging butt burn sensation as well. 

I hope some of this helps.

Thanks for your suggestions, Scatty.  I especially like:

"try to eat really low fiber food during the day, bread, pasta, potatoes...ect so that when I do go to the toilet my stools would be soft as not to aggravate the butt burn." 

It's reassuring to know I'm not the only one going through this particular issue following the take-down surgery.

Hey Strange,

I want to let you know that I've been using the Ilex for the last couple of days and it really seems to have made a difference (so far...knock on wood!)

Thanks!!!!!

Charlie

 Charlie, thanks for the update, pleased I was able  to help.

I got a triple numbing cream from pain management doctor.  Benzo/Lido\Tetra cream.  It’s amazing for butt burn

Thanks for the suggestion, Pilates Josh....I'll for sure hang on to the name of this cream!

Butt burn is the worst..  I use calmoseptine . And also hemmoridal wipes(witch hazel) seems to help.