I have the same issues. I have a fistula right next to my anus, so wiping, even with baby wipes, makes it extremely raw and irritated. So painful I can barely walk, and even had to miss a couple of days of work from it.
I took people's advice on here and ordered the Calmoseptine. It is the BEST STUFF!!! I just called the pharmacy, asked if they had it in stock. They didn't but could order it and I would have it the next day.
Where some of the other things I tried (and I tried many, believe me!) would burn when you applied it, Calmoseptine doesn't burn at all. It instantly cooled the area (has menthol) and I would reapply it after every BM.
Another thing that helps if you have one is instead of wiping, use a hand held shower attachment. (K, this is just gross, but) I have found that I will wash stuff out even after I thought I had wiped clean.
I know how painful this is, hope you find something that helps!
Dx'd w/ Crohn's in 1979 at age 14. Bad flare 2008 but no health insurance so I dealt with it. Colonoscopy in July 2009 caused a perforated colon, emergency bowel resection. 2 fistula's, perianal and perivaginal.
Dr. wants to try Humira...STILL waiting on that! Not sure what is taking so long...
Currently just take a probiotic, a multivitamin, calcium, magnesium, and fish oil. I also take Tramadol 50 mg and Klonopin (for anxiety) as needed.