pain in the bottom!!

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Regular Member

Date Joined Oct 2006
Total Posts : 148
   Posted 8/22/2008 5:14 PM (GMT -6)   
So, I've had diarrhea for a couple of weeks now. My rear has become so raw that it bleeds when I wipe, and I'm in tears every time I go to the bathroom. It hurts SO bad to go, it hurts SO bad to wipe. I've been using baby wipes and hemorrhoid pads in the hopes that it would help with inflammation.. no luck things are getting worse. Any suggestions?
26 years old
Diagnosed 9/06 with Pancolitis. The diagnosis was changed 9/20/07 to Crohn's disease.
I've had flares in my mouth, stomach, large intestine, and the duodenum.

I currently take Humira 40mg bi-weekly, prdnisone 8mg (oh so close!!), methotrexate as a weekly shot, prevacid, celebrex, foilica acid, and.. I think that's it.

Veteran Member

Date Joined Dec 2007
Total Posts : 2113
   Posted 8/22/2008 5:18 PM (GMT -6)   
I would talk to a doctor-you may need special wound care, dressings, antibiotics, skin protectors etc. You also need to treat the diarhea.

Regular Member

Date Joined Jun 2007
Total Posts : 45
   Posted 8/22/2008 5:28 PM (GMT -6)   
That is so not nice! My suggestion is this:

warm water wash after every bm, followed by drying with a blow dryer - DON'T LAUGH, really. obviously a low heat setting, just to dry the area well. I tried witch hazel, but only stung the more!! Baby wipes were irritating as well!

I have had similar problems, not so severe though. you really need to give your bum a break and stop the D somehow. To stop mine I start only eating plain basmati rice, a little salt, add some broc while the rice is cooking in little pieces so it will cook until mushy. Cook on low heat a skinless, boneless chicken breast in foil in the oven (till it is nice and tender) with only a little salt. Eat only this until the D stops. It normally takes 2-3 days for me.

Hope this helps, and it gets better soon!!


Post Edited By Moderator (ivy6) : 8/22/2008 5:48:57 PM (GMT-6)

Veteran Member

Date Joined May 2007
Total Posts : 1220
   Posted 8/22/2008 5:46 PM (GMT -6)   
I use a hand-held shower sprayer wand to rinse off. I dont wipe at all -- I put one foot in the tub and one foot outside, sit/squat down one the tub's side and gently spray it all way. Nice and clean!!
Diagnosed early 2007 with rectal Crohn's.  Several peri-rectal abscesses and two fistulas with setons.  No other symptoms.
Allergic to Remicade and Humira.  Currently on 6MP.

Veteran Member

Date Joined Mar 2006
Total Posts : 1354
   Posted 8/22/2008 8:15 PM (GMT -6)   
Ouch, I agree with Sjkly, it could be a fissure but its best to make sure. Hope this does'nt go on too long for you. Jo

Regular Member

Date Joined Jul 2008
Total Posts : 128
   Posted 8/22/2008 8:48 PM (GMT -6)   
my doctor recommends a barrier cream/ointment. meaning using a zinc ointment, A&D ointment, anything like that to give your skin around that area a protective coating from the harsh acidity of your D
diagnosed with Crohns since 2004
Hospitalized often for colon rest and TPN
Have been on 6MP, flagyl, cipro, prednisone, remicade (3 1/2 years).
Currently trying Humira every week.
Just got put back on Prednisone :(! 30 mg/day
Put on Augmentin too

Regular Member

Date Joined Jun 2008
Total Posts : 125
   Posted 8/22/2008 9:41 PM (GMT -6)   
My doc told me to take 3 (yes 3) 15 minute baths a day until it got better. Also, he told me to wipe gently with wet toliet wipes.

Most importantly, he told me to slow down the D by taking immodium. Your poor bottom needs a break :-)

When I do all of these things, I feel better within days.

Good luck and keep us posted.

35 year old female - Diagnosed w/Crohn's 2002 - Surgery 2004

Currently taking: Pentasa, Entocort, Imuran, Immodium, Zoloft, Wellbutrin, Seroquel

Regular Member

Date Joined Jul 2007
Total Posts : 456
   Posted 8/23/2008 10:50 AM (GMT -6)   
Taking a couple of sitz baths a day (after bms, if possible) should help.  Let the area air dry as much as possible and then apply a cream.  My rectal surgeon recommended Calmoseptine last year, and that has been a life saver.  It's got menthol in it, so the first time or two may feel weird or uncomfortable, especially considering how raw you must be.  But after that it should be a relief.  And I'd definitely talk to the doctor to see what can be done to get the d under control.  You'll heal up a lot faster if the area isn't constantly being stressed.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 8/23/2008 11:25 AM (GMT -6)   
I have always used a diaper cream with zinc to make a barrier. I also use a squirt bottle to rinse off then I pat dry, don't wipe. There are some rx creams you can ask your doc about. ((HUGS)) I know it must be miserable. Hope you find relief soon.
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.

Elite Member

Date Joined Feb 2004
Total Posts : 20558
   Posted 8/23/2008 12:12 PM (GMT -6)   
Sounds like fissures...doing sitz baths with epsom salt will soothe and help heal them quicker than not using anything at all...pat the area dry right after the sitz bath and gently pat some extra virgine olive oil down there, not only will this soothe but it will heal things up fairly quickly too.

My bum is broken....there's a big crack down the middle of it! LOL :)

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