So like others in the UK, my nurse in the NHS reccomended ILEX skin protectant paste along with other creams. I've had my ileo-anal pouch since 2018 and use 3 creams in escalating order of how sore the area is.
Bepanthem is my normal daily use cream every time after visiting the bathroom. If the soreness is too bad, I use Calmoseptine and if that is still not good enough, I use ILEX skin protectant paste for the 'rubber skin' effect.
Like everone else, post covid I have been unable to obtain ILEX for well rehearsed reasons - it's not in production, and no one really knows when it will be (yes I have emailed ILEX and OakMed multiple times).
I tried 'just answer' for an alternative and 2 dermatologists were unable to help.
One suggested medline marathon - which is a bit like superglue with an applicator - i found it almost impossible to apply to myself, so it's a 'fail', but where it did stick, it seemed to protect my skin and stay on a long time (days). I won't be trying it again.
Someone else on the forum suggested coloplast critic-aid so i have sent for some of that, and I remember the colorplast barrier spray from when I was in hospital and had an external bag - so I'm going to try that. My final self experiment is going to be Medline Sureprep Liquid Skin Protectant Spray.
I'll let you know how it goes
Graham