I use wipes and still get butt burn- do you guys use both wipes and skin barrier creams?
Original Post
Replies sorted oldest to newest
Have not had to treat butt burn since 2-3 years after takedown, but I think Calmoseptine and any zinc oxide ointment that is 15% or lower are best as barrier creams. If you go higher than 15% you will caulk your butt cheeks together.
I use wipes and then Ilex paste. The paste definitely alleviates the burning and itching.
I use calmoseptine but I very rarely get butt burn, has not been an issue for me except for maybe a few days here and there
@Kangaroo posted:I use wipes and then Ilex paste. The paste definitely alleviates the burning and itching.
Ilex paste is VERY expensive. There are cheaper stuff out there- sensi care protective cream, and calmoseptine.
@CTBarrister posted:Have not had to treat butt burn since 2-3 years after takedown, but I think Calmoseptine and any zinc oxide ointment that is 15% or lower are best as barrier creams. If you go higher than 15% you will caulk your butt cheeks together.
Lol, "caulk butt cheeks together" sounds funny XD
A bidet works best of all, IMO.
@Scott F posted:A bidet works best of all, IMO.
Does it feel weird???
@Former Member posted:Does it feel weird???
My bidet took me a couple of days to get used to. I like that I'm not trying to scrape myself clean any more.
I use Proshield Plus. It can be ordered on Amazon. It is much more water soluble than Calmoseptine. The bidet is totally necessary. When things get bad, I actually try to hop in the shower after each stool. It is a pain, but saves a lot of pain (: Wipes irritate me.
@Scott F posted:My bidet took me a couple of days to get used to. I like that I'm not trying to scrape myself clean any more.
I bet. I would not like being wet down there until it dries, but it sounds better than irritation lol. How long have you had a bidet for???
@Former Member posted:I bet. I would not like being wet down there until it dries, but it sounds better than irritation lol. How long have you had a bidet for???
I got it six years ago. I can’t believe I waited that long. Mine includes a warm air dryer, but it doesn’t move enough air to dry things quickly, so I blot the bulk of the water up first with toilet paper.
@Scott F posted:I got it six years ago. I can’t believe I waited that long. Mine includes a warm air dryer, but it doesn’t move enough air to dry things quickly, so I blot the bulk of the water up first with toilet paper.
Wow cool! That definitely saves on buying wipes and buying skin barrier cream lol. I might have to think about that. I have been using wipes for almost 6 years, I hear great things about bidets- so far I have not heard any complaints.
I use calmoseptine and a bidet. Also hot baths when I get sore. I am 7 weeks into the jpouch and am learning a ton! I'm thankful for this forum. So helpful!! I am working on getting the stool to thicken which helps so much. Between immodium and fiber capsules I am now getting some good results.
@Former Member posted:I use wipes and still get butt burn- do you guys use both wipes and skin barrier creams?
You’re probably suffering from butt burn as a result of chapped skin caused by the wet wipes and wiping so often.
The diaper rash type butt burn is caused by the acidic leakage, especially during sleep when the leakage sits on the skin for a longer time before it’s noticed; thus, causing skin erosion.
The same can occur.around the stoma due to leakage, even without wiping.
In your case, if you’re not suffering from leakage but wiping often; it’s kind of similar to a sore ,red nose when suffering from a cold; a combination of a running nose and wiping with a tissue, resulting in chapped skin and soreness.
When cleansing after a BM, rather than or before you use wet wipes, maybe it’s best to use dry toilet paper, without wiping and allow the paper to soak up the liquid output that’s on your skin; and if necessary, follow this by blotting the area dry with toilet paper or ideally paper hand towel, the type use in public washrooms, (although the hand towels not suitable to soak up output; I speak from personal experience.)
When I first got my J pouch, I always used wet wipes; use to buy huge boxes to save money but as time passed, without a conscious decision, I just gradually stopped using them.; I don’t use barrier cream either
I was of the understanding that the butt burns caused after takedown, when the pH of the stool fluctuates before adjusting (at least in most patients), is due to the stool being too alkaline rather than too acidic. In other words, the pH is greater than 7. Although once butt burn starts due to alkaline stools, eating acidic foods (like vinegar) is certainly unlikely to help matters.
@Former Member posted:You’re probably suffering from butt burn as a result of chapped skin caused by the wet wipes and wiping so often.
The diaper rash type butt burn is caused by the acidic leakage, especially during sleep when the leakage sits on the skin for a longer time before it’s noticed; thus, causing skin erosion.
The same can occur.around the stoma due to leakage, even without wiping.In your case, if you’re not suffering from leakage but wiping often; it’s kind of similar to a sore ,red nose when suffering from a cold; a combination of a running nose and wiping with a tissue, resulting in chapped skin and soreness.
When cleansing after a BM, rather than or before you use wet wipes, maybe it’s best to use dry toilet paper, without wiping and allow the paper to soak up the liquid output that’s on your skin; and if necessary, follow this by blotting the area dry with toilet paper or ideally paper hand towel, the type use in public washrooms, (although the hand towels not suitable to soak up output; I speak from personal experience.)
When I first got my J pouch, I always used wet wipes; use to buy huge boxes to save money but as time passed, without a conscious decision, I just gradually stopped using them.; I don’t use barrier cream either
Yeah, what you said makes sense. Wiping it over and over would definitely make it tender, especially since I wipe over 10x a day. Do you still do that same method with toilet paper???
@Former Member posted:Yeah, what you said makes sense. Wiping it over and over would definitely make it tender, especially since I wipe over 10x a day. Do you still do that same method with toilet paper???
From time to time I do, only if my output is more liquidy than normal but more often than not, I don’t need to.
I only go 3 to 4 times per day, sometimes 5 and there’s hours and hours between bathroom visits.
I use wipes every time. I only get butt burn when I use regular toilet paper. When I do, it's Calmoseptine for me. My husband will even use it when he has issues (he's a UPS driver), and he doesn't even have a J pouch 😂
@Former Member posted:From time to time I do, only if my output is more liquidy than normal but more often than not, I don’t need to.
I only go 3 to 4 times per day, sometimes 5 and there’s hours and hours between bathroom visits.
Dang you are sooo lucky!!! Going over 10x a day is super annoying, especially for overnight trips! I wonder why we all do not go the same number of times since we all do not have a colon or rectum. I read only 30% of us go 9x and up a day- I am age 27 now, I hope it does not increase more as I get older.
@Former Member posted:Dang you are sooo lucky!!! Going over 10x a day is super annoying, especially for overnight trips! I wonder why we all do not go the same number of times since we all do not have a colon or rectum. I read only 30% of us go 9x and up a day- I am age 27 now, I hope it does not increase more as I get older.
I’ve no idea but I’ve often wondered whether it could be due to the amount of food consumed, thus the more that’s ate, then the more times we need to go.
Although currently, I weigh 230lbs and personally, I don’t think I eat that much and due to my height, technically, I’m not overweight.
Just prior to J pouch surgery, I weighed 217lbs; so even with the ileostomy, I was able to maintain my weight.
However, with the ileostomy; the colostomy bag had to be emptIed every two to three hours without fail.
Since having my J pouch, it feels no different to before I was even diagnosed with Colitis but certain foods and drinks do make a difference, either increasing my frequency, its consistency and reducing the time between BMs, so I either totally avoid those foods or limit how often I eat them.
@Former Member posted:I’ve no idea but I’ve often wondered whether it could be due to the amount of food consumed, thus the more that’s ate, then the more times we need to go.
Although currently, I weigh 230lbs and personally, I don’t think I eat that much and due to my height, technically, I’m not overweight.
Just prior to J pouch surgery, I weighed 217lbs; so even with the ileostomy, I was able to maintain my weight.
However, with the ileostomy; the colostomy bag had to be emptIed every two to three hours without fail.
Since having my J pouch, it feels no different to before I was even diagnosed with Colitis but certain foods and drinks do make a difference, either increasing my frequency, its consistency and reducing the time between BMs, so I either totally avoid those foods or limit how often I eat them.
That is possibly right but I eat a low carb diet so its weird I go that many times and its more if eat more. It could be because I am vegetarian too though, that probably has a lot to do with it. I am 5'10', 130 pounds. My 2 stage pouch surgery made me drop significantly to 95 pounds, but that was almost 6 years ago. The bag filled up all the time when I had a catheter inside. How tall are you??
6.3ft
@Former Member posted:6.3ft
I believe the weight requirement is to be under 190 for that height.
@Former Member posted:I believe the weight requirement is to be under 190 for that height.
I’ve not been 190lbs since I was 19
@Former Member posted:I’ve not been 190lbs since I was 19
How old are you now???
@Former Member posted:I’ve not been 190lbs since I was 19
Too shy to say your age? Lol