Hey Mike how are you now? I would like to dialog with you a bit about the problem that you are having. I have had the same experience as you AND IT HAS BEEN HELL!
My symptoms started in 2008. Are you any better? has anything helped? this has debilitated me. the pain is worse than anything i have experienced in my 48 years on earth. as if the jpouch and having to crap all the time aint bad enough.
pointers:
no caffeine of any kind
No sugar at all
no spices of any kind
no gluten
no alcohol of any kind
try heavy probotics
gently rinse your arse out with a handheld shower head on hot don't scald yourself not that hot! keep it clean and dry dry dry.
if you are itching like deep jock itch type itch you are probably over run with yeast candida and jock itch. get zeasorb, brand jock itch powder and put it all over down there and do it until its gone and then 2 weeks more or even more. I found that some of my pain was caused by that. we don't process things like others this is true with everything we eat and we get over run with bad bacteria and fungus and the doc gives you antibiotics that are really bad for us! I found that WILD OREGANO OIL HELPED ME.
STRESS IS NO GOOD FOR YOU if you have a high stress Job or a bad relationship that is draining you? well Bro I hope you make some good decisions to change it.
Take Care, Cause I Care!