I thought I had everything figured out.  No citrus, no blueberries etc.  Then BAM, out of the blue last week...the dreaded BB.  Back to the drawing board I guess.

Maybe you need something like an acid blocker upstream, like Pepcid. Many people have found it useful. It is not always diet. Actually, often it is not. Another option is cholestramine, which binds with bile acids. It is prescription only.

Jan

As Jan mentions, it's not always diet. I occasionally still suffer from buttburn regardless of diet. In addition to what Jan recommends, using a barrier cream after each BM is helpful.  With frequent BMs and wiping, the skin is unfortunately prone to irritation and excoriation. Our output, being higher in digestive acids than people with colons, also make it a perfect storm for irritation and burning to develop, especially if the area is already a little raw or sensitive from wiping.  When I had my ostomy, the nurse lectured me about using a barrier paste or powder to protect the skin around the stoma as it was prone to breaking down. The same would go for skin around the anus.  

thanks everyone, I have a doc appt in 2 weeks and I will ask about acid blocker. I use a bidet at home and it sure helps alot. Wish I had one at work!

If you can't handle the mint feeling of calmoseptine, try aquaphor.  The tattoo industry uses it to help healing of tattoos.  My poor bum tends to prefer it.

Hello, Holly M. You can take your bidet to work! There are travel bidets on Amazon. It's a purple squirt bottle with angled nozzle. I don't know how discreetly you can fill the bottle in a public bathroom and go into a cubicle, or keep a small bottle of water in your purse to carefully pour into the squirt bidet when you're ready. I say this because the small air lock button on the bottom of the squirt bidet can drip a tiny bit of water if you leave it in your bag with water already in it.