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New to the site, though I've been visiting it all year while I had my various surgeries - such a good resource Smiler

I just had takedown last Tuesday, and while I feel I'm healing incredibly well, I do want to ask a few questions from those who have experience; I have a bit of abdominal cramping which I'm guessing is from gas or just a sort of adaptation period? I also have a bit of tenesmus/urgency, and the (rectal? anal?) muscles tend to cramp a bit and feel sore right before/after a BM. Other than these few things, I'm doing well - going maybe 10 times a day, no blood, no real straining, passing some gas, nothing really blatantly wrong. Am I experiencing a normal readjustment or should I be concerned about any of the issues I mentioned?

Thanks everyone!
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Absolutely normal. These things will subside over time. Don't be to hard on yourself or get to worked up about things youre body has just endured a major surgery and needs time to adjust. Being patient and staying positive is what will help you through. It's a long recovery process. I am 8 months post takedown and still adjusting. It is much more of a mental test than anything so stay strong. We are all here for support. Good Luck!
Calmoseptine irritated me. I used ProShield Plus. It is something you have to order online, but the hospital gave it to me originally. The company also makes an incontinence spray that I like when the bidet doesn't clean completely or when I am out of town.

To be honest, until I got the bidet, I was constantly jumping in the shower. That was the only thing that took the unbearable burning away.
Cavilon is a barrier wipe often used for peristomal skin. Some people have posted in the past about using it for perianal skin but it has always struck me as being too thin/not water resistant enough.

Be careful with dimethicone. It is VERY good at sealing in moisture, which means it can also be very good at breeding a fungal infection around the anus unless you are very thorough about drying before applying the cream.

I'm one of the people who finds Calmoseptine irritating -- it contains menthol which is cooling and pleasant for most, but for me it's more of a burning sensation. In fact I think most of the "butt burn" I experienced early on was actually caused by Calmoseptine Smiler Oh well, live and learn. For me the best barrier cream was plain A&D ointment.

Absent a bidet I think the best thing you can do is hop in the shower or use a squeeze bottle to squirt water around the area and get it as clean as possible. Wiping with baby wipes, damped TP, etc is better than wiping with dry TP, but it's still abrasive to the skin that is already taking a beating from the newly acidic output. Rinsing with pure water, either in the shower or with a squirt bottle (or ideally with a bidet), patting dry with soft TP, and then applying barrier cream is the best.

Everything else you described sounds normal to me. It does get better!
I needed something milder than Calmoseptine, and I find the smell of A&D unpleasant. Plain zinc oxide worked just fine for me, and I also used the more exotic Ferguson Formula, which is like a very mild Calmoseptine, but not as plain as zinc oxide. FWIW, I haven't used any of this for about seven years or so, and I'm just now shopping for my first bidet. It really does get better!
Last edited by Scott F

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