Pain and Skin Irritation After Bowel Movement

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Regular Member

Date Joined Jul 2009
Total Posts : 25
   Posted 12/2/2009 7:50 PM (GMT -7)   
I had surgery for a large anal abcess in March, seton drains put in in June, and removed in October.  Since that time, the skin irritation and burning has gotten much worse.  I'm hopeful the stupid abcess is not coming back, but who knows until it reaches a certain size.  I have a fissure and internal hemorrhoids that I've had for about 3 years.  My surgeon just says to use Desitin and baby wipes and come back and see her in a month and "we'll talk" (although she doesn't like questions or talking).  She claims my pain is due to an internal muscle spasming and not allowing the fissure to heal.  I usually go to the bathroom once a day but that has gotten smaller in size - she doesn't seem concerned, but it worries me.  I'm not currently having diarrhea.
I'm used to the pain and burning of the fissure for about an hour afterwards, but now the burning is on the skin all around as well - pretty much all day.  She says I have a "moisture problem" but I am taking sitz baths, showering off well, keeping everything clean and using the Desitin and wearing gauze between the "cheeks" as she instructed and it's not getting better.  The Desitin is supposed to protect the skin but wouldn't the cream also not allow air to allow the skin to heal?  She did not suggest any prescription creams with anything to help the pain or heal the situation.  I also get concerned that maybe something like a yeast or other skin condition has developed and I don't know if she would know about this.
I feel I'm caught between specialties - I don't have huge confidence in what my surgeon is telling me since it's not helping.  I called my dermatologist and they asked why wasn't I calling a gynecologist.  Does anyone have any suggestions?  I don't see the surgeon for  a while (not that she's helping), I have a gastro doctor and a gynecologist I could see, but skin problems in this area seem to fall in a "no man's/woman's area". 
Anyone else had constant skin burning and irritation and who did you see that could help you, or what have you found that helps on your own.  I appreciate your help!

Veteran Member

Date Joined Jul 2007
Total Posts : 1956
   Posted 12/2/2009 8:16 PM (GMT -7)   
Wow, you are really struggling. I hope you find relief soon! Yes I have had irritation. When this happens I use my sitz bath, with Aveeno added to the warm water (the type you use in a large tub for poison ivy, just use a tablespoon or two for each sitz bath soak).

I also prefer Aquaphor ointment. It looks like vaseline but is very healing (and quite expensive, the flip side on the monetary spectrum to vaseline!). You find this ointment near the hand lotions (not near vaseline). It comes in a large tube or jar. If you wanted to try the product but didn't want to spend as much $, try the small two tube packs (designed for chapped lips). This way you could try it and see if it provides relief.

One more thing I did try Desitin for my own babies but there was another diaper rash cream that came in a pink tube or the box was pink. I can't even recall the name but it worked much better than Desitin ever did for my daughters. Look near the Desitin tubes and see if there is another cream that is similar in price. I do know it was not a generic cream, it was pricey too but worked great.

And yet again, one more thing - once you are done using the bathroom for the night skip underwear and even pants. Wear a nightgown only. Allowing air to circulate and help heal the skin. That may help you as well.

Hopefully you'll receive more replies.
- Rectal Cancer 4/29/99, Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, temporary colostomy, reversed 8 weeks later)
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Takes Colace 50 mg each evening

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