Severe burning after passing stool

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New Member

Date Joined Jan 2006
Total Posts : 5
   Posted 1/25/2006 1:14 AM (GMT -7)   
Hello All,
It's amazing to be able to ask these embarassing questions so openly.
Here's the deal -
I've had IBS for 10 years. It's better now than it used to be, but...
I also have panic disorder, and whenever, I have a panic attack, my body's big response is
terrible diarrhea. The worst thing about this is the severe rectal burning while going to the bathroom and for the whole rest of the day afterward.
I take sitz baths on these days. I also apply lidocaine ointment as soon as I realize this awful situation is about to happen. I think the lidocaine helps somewhat, as a lubricant, but it is burny all by itself...and I'm trying to find out if there is anything out there better than this.
I feel that a good, natural lubricant would really make these awful days easier, but I'm a stickler for natural products...not petroleum based stuff. Does anyone else have the above problem? Has anyone else found any type of product that helps during bowel movements and afterward? I'm just not sure if the burning comes from the stool being acid because of the panic attack creating acid in my intestines...or if the anus is irritated, or what? Any ideas?

All I know is that it hurts so much I practically faint. It's, to me, the very worst part of both IBS and Panic Disorder and it would make my life soooo much better if I could find more help with this.
Thank you all so much for taking the time to reply! 

Veteran Member

Date Joined Mar 2005
Total Posts : 2486
   Posted 1/25/2006 1:43 AM (GMT -7)   
Hey Mim, welcome to the site.  The problem you're describing sounds identical to what a lot of us go through - the lovely bile acid diarrhea!  Is your BM watery and yellow?  If so, it's probably bile, which is very acidic.  Have you ever had your gallbladder checked?  This can often be the culprit.  I find the only help with my burning a** is extra-soft toilet paper, baths, and diaper ointment like Burt's Bees (all-natural ingredients!). 

Veteran Member

Date Joined Jan 2004
Total Posts : 4151
   Posted 1/25/2006 5:41 AM (GMT -7)   
Hi Mim,
Welcome to Healing Well :)
Sarita has given you some great information. I agree with the extra soft tp and also maybe some aloe wipes to soothe after you are done dry wiping. It could be either acid bile or it could just be that you are irritated.

Sarita, Thanks for the info on the Burt's Bees diaper ointment. I use Burt's Bees for other things and had no idea that they had a diaper oitment. I think I will look for that next time. :)
Hugs, Des
Co-Moderator ~ IBS Forum
~My reality check bounced
Please help Healing Well continue to help others by donating

Veteran Member

Date Joined Apr 2005
Total Posts : 3269
   Posted 1/25/2006 9:40 AM (GMT -7)   
What about Preparation-H (is it not natural)? I hear it does wonders for burning hemmies... it might work for this too.

Welcome, Mim! :-)

Co-Moderator for the IBS Forum
Please donate to help HealingWell continue to help us.....

obs ann
Veteran Member

Date Joined Jan 2006
Total Posts : 679
   Posted 1/25/2006 10:09 PM (GMT -7)   

For about $3 something, you can get "Zinc Oxide" at your drug store or even large grocery stores ... and I guarantee, you'll never be without a tube in the house again.

But don't buy something "with" it just in it, like some diaper rash stuff ... it has to be pure Zinc Oxide.  The drug store folks can show you what  aisle it's on and generics are great for the price.

That is what we used in the Nursing Home, even for the worst case scenarios on bottoms to where they were almost at the bed sore stage, and even under breasts and armpits for yeast rashes and for the rashes folks get where their legs rub together or rashes from having a cast on, etc. etc. 

It's safe for any part of your body, because as you'll read on the tube, it's used for baby's diaper rash.  And believe me, it doesn't burn.

You'll love it for lots of things.  Especially summer rashes and all.

I'd recommend you also use it at bedtime, but watch what you wear, because it is a thick white ointment.  But it'll cure almost anything overnite... almost anything. :-)

Late Neuro-Lyme & CFIDS. 

Post Edited (obs ann) : 1/25/2006 10:13:22 PM (GMT-7)

New Member

Date Joined Jan 2006
Total Posts : 5
   Posted 1/26/2006 1:33 AM (GMT -7)   
Thanks Everybody,
I really appreciate your suggestions.
about the Gall Bladder...can you please write more? My mother had to have hers out. But, the acid stool only happens when I have a panic attack. It used to be all of the time when I first got IBS 10 years ago...but, luckily, it is now usually confined to my panic episodes.
I appreciated the info about the ointments, but I guess I'm asking if there is anything you can put on BEFORE you have a bowel movement, so that the...uh, poop, doesn't have a chance to touch the skin there on the outside.
Like I said, I've been using the Lidocaine ointment for this. It's about the consistency of desitin, and helps things to move out more smoothly, simply because it's slick, I guess. But the lidocaine has a sting to it...I don't want to use Vaseline because it's full of mineral oil which is really bad for you...but I'm trying to find something like that. Maybe one of those 'female' lubricants?
Any more ideas?
Thanks all!

Veteran Member

Date Joined Jun 2005
Total Posts : 2976
   Posted 1/26/2006 9:45 AM (GMT -7)   
Ah, gall bladder disease. I'm going to just have to write this stuff out once and for all and save it to a Word document so I can just pop it in whenver it's needed, lol.

I'm going to make the definitive guide to gall bladder disease a separate post since it's so long; be sure to check it out, Kim. I have a sneaking suspicion that what you are calling a panic attack is a regular old gall bladder attack (for some people getting so bad sick makes their heart race, they feel dizzy, etc.--it's not panic that's making you sick, it's being sick making you panic).

Oh, about the bile poo. I have found through extensive wiping and wet wash clothes, etc., there is nothing you can do to soothe the burning. I am of the opinion that while you feel like the outside of your rectum is burning, it's actually the inside that's burning. You may try a hemmroid suppository and see if that helps, but I'm afraid you can't preempt the burning by applying cream first. This is rather like having acid reflux, only instead of your esophagus burning for hours afterwards, it's your intestines that burn.

Veteran Member

Date Joined Jan 2006
Total Posts : 1629
   Posted 1/26/2006 9:57 AM (GMT -7)   
Hi Mim,
I sometimes get what you are experiencing but i pass alot of mucus at the same time which irritates and causes a burning pain. Have you just tried a plain lubricating jelly?? Or even anusol cream??
i hope the symptoms get better for you

New Member

Date Joined Jan 2006
Total Posts : 5
   Posted 1/26/2006 10:12 PM (GMT -7)   
Thanks, both of you.
Yes, maybe the plain old lubricant will help some.
But, oh my gosh, the Gall Bladder thing...I really wonder about this. Can you please direct me to someplace on the net where they describe the gall/panic thing in detail? You seem to be so informed about it. I would really, really appreciate direction.
Thanks everybody, for taking the time to write!

Veteran Member

Date Joined Jun 2005
Total Posts : 2976
   Posted 1/27/2006 10:17 AM (GMT -7)   
Well, I don't think you can get much more detailed than my paragraph on my post about waking up in the middle of the night having an attack. Most sites are only going to give you a clincal listing of possible symptoms. But if you want to describe what happens to you, I can tell you if that sounds like it's gall bladder related or it perhaps something else entirely.

I know from a few members on here that they get panicy when they get sick and have side affects related to the panic, like sweating and dizziness and shortness of breath. I believe one of our girls gets this when she gets sick because she is morbidly afraid of vomiting so her getting sick makes her panic. And a lot of people get sicker when they are out in public because they panic about being sick in public. Panic doesn't cause IBS, IBS causes panic.

Regular Member

Date Joined Mar 2003
Total Posts : 185
   Posted 2/1/2006 6:12 AM (GMT -7)   

Information about Gall bladder and the burning acid diarrhea.

Here is the calcium information. I know it is a lot to take in but it may be will worth it to see if this simple solution can offer you the relief it has me and many others. You need to follow it as close as you can to get the best results. I know it sound too simple to work but it really does help a lot.

This is what has helped me for more than 7 years with almost daily attacks of urgent diarrhea after having my Gall Bladder removed. Calcium is known to be constipating so if you are that IBS type do not take it. All calcium is not the same. Here is the what and how to take the calcium information if you suffer from diarrhea.

Calcium is an OTC supplement we all do not usually get enough of. No Rx is needed to purchase this.

When you take calcium about 40% of the dose gets to the bones the rest is eliminated in our waste. The calcium goes to the intestines and soaks up excess fluids and binds them together and they are gotten rid of in our waste.

This is a process that can be continued by taking the calcium carbonate on a daily basis thus giving a more formed BM.

There is calcium carbonate which helps us with diarrhea and there is calcium citrate which is more easily absorbed by the body and gets to the bones but is not as helpful in controlling diarrhea.

A lot of the calcium supplements contain a 2 to 1 ratio of calcium to magnesium. Magnesium is not helpful for us with diarrhea only causing more in most cases. So, do not purchase this combination. It will only make things worse. Also if you are taking a multi vitamin with magnesium this may be a source of some of the problem if you are having diarrhea. Also for me vitamin A, C, and E seemed to cause me stomach upset. If you check this out your will see they too can cause diarrhea. It is better not to take a multi vitamin while trying to get the calcium to help.

The dose to take is different for everyone. I must take 3 a day one at each meal and it does not make a difference if I take it before during or after just take it regularly. Taking them at least 4 or 5 hours apart is also necessary so the calcium has time to go through the system and soak up excess bile and water. Sometimes, because of the long number of hours between dinner and breakfast it may be necessary to adjust your timing to taking one at bedtime with a small snack to get better results if you are a person who usually suffers from diarrhea in the mornings. I think the way it works is the dose you take prior helps with the current meal and the distress it may cause.

The most success has come from using any formula of calcium supplement that is like Caltrate 600 Plus with Vitamin D and Minerals in the purple and white box. This information is from the many users that have sent me emails and of the posters on the web sites I have dealt with. I hope this will help anyone wishing to try it and I am always here to answer any questions for you. I have a lot of feed back form many users.

You must also have some testing done to be sure you are not dealing with anything more serious. This is most important.

There are other things to consider. If you take any other meds check the side effects and also check with the Doctor or Pharmacist to see if taking calcium will interfere with your other medications and how you might take them. I know if you take thyroid meds it is important not to take the calcium at the same time but you can take the thyroid meds one hour before you take calcium or 4 hours after taking the calcium. The calcium will soak up the thyroid medication and you will not be getting the benefit from it. You should also look at the side effects of any other meds you may be on this can contribute to the success or failure of using calcium to help to control your diarrhea. You may also consider if you are constipated and taking calcium this may be the reason for your constipation. You can most likely switch to another form of calcium to relieve this also.

The only side effect is at the beginning of taking the calcium, you may have some gas or indigestion but this usually goes away soon after taking a regular dose for a few days as your body adjusts to the added calcium. For most it is about 3 days and it is important to start with the lower dose so you don't have the added distress and think the calcium is not helping but making you worse.

Starting with 1/2 tablet doses with each meal will lessen this problem and it may be enough to control the diarrhea attacks without making you constipated.

Constipation can be a problem so be careful not to take too much. It is safe for most of us to take 1800 mg a day as long as your body processes calcium correctly and you do not have some underlying problem. Check with your Doctor.

I had my gall bladder removed in 1976 and from that time on I had suffered urgent attacks of diarrhea. It is now known to me that is called Bile Salts Diarrhea. This happens to a good percent of people who have had their Gall Bladder Removed. I Went through a lot of test but nothing else could be found. I took many of the meds for bowel spasms and cramps over the years but nothing ever seemed to help. I started to take a calcium supplement to help prevent bone loss in later years and from the first day I felt relief. I was pretty much a prisoner to the bathroom or had to go without eating to be able to leave the house.

I must take 1 tablet with each meal and the diarrhea does not come back if I miss taking it I get diarrhea. It is a trial and error situation to find the right amount that may help you.

The way it works is the calcium carbonate it a binder and when you take it only about 40% of the calcium gets to the bones and the rest is gotten rid of in our waste. During that process it gets to the intestines and soaks up excess bile and water and helps give a more solid BM. Now that you have no gall bladder the bile fluid goes directly into the intestines and causes irritation and diarrhea. That burning yellowish color that you may see is the bile. The calcium carbonate soaks this up and no more diarrhea. It works great for a lot of us and you just have to take the calcium regularly and do not miss.

I started with Caltrate 600 Plus with vitamin D and minerals and it does seem to make a difference in the ingredients of calcium... This one seems to do the best job for most. You can buy other store brands of calcium with the same ingredients that work just as well but they need to have the same ingredients. I get Member's Mark Brand from Sam's Club you get 300 tablets for 8.99. I know Walgreens has their brand with the same ingredients and if you live in the UK Boots has been reported to have something similar. Let me know if you need more help. You won't be sorry if you try it.

I suggest starting with 1/2 tablet with each meal at first this may be enough to control the diarrhea if not in a few days up the dose to 1 tablet with each meal or any combination there of. The side effect is constipation so if you feel it coming on just stop taking it until you have a BM then start back on a lower dose. It is important to use a calcium that is as much alike as the Caltrate brand from the feedback I have gotten.

Let me list the ingredients:

Vitamin D 200 IU (The sunshine vitamin needed to help the body absorb calcium)

Calcium 500 or 600 MG (This should be calcium carbonate form) (Calcium is the most abundant mineral in the body. It is essential for maintaining strong bones and teeth. Calcium is vital to muscle and nerve function, blood clotting and metabolism.)

Magnesium 40 MG (No more than this amount because magnesium will cause you to have diarrhea but because calcium is constipating the magnesium helps to counter act that effect) (Magnesium is essential to build bones and is needed for muscle function, energy metabolism, trans-mission of nerve impulses and to make genetic material and protein.)

Zinc 7.5 MG (Zinc is necessary for some metabolic processes, normal growth and sexual development, and proper immune system functions.)

Copper 1 MG (Copper promotes iron absorption and is essential to red blood cells, connective tissue, fibers and skin pigmentation.)

Manganese 1.8 MG (Maganese plays an important role in metabolism and is also needed to build bones and tendons.)

Boron 250 MCG. (Improves calcium and magnesium retention. Similar improvements can also be seen in Vitamin D deficient post menopausal females.)

There are other brands with the same ingredients so get something as close as you can. Then start with 1/2 tablet with each meal and in a few days if this is not enough to control your diarrhea then up the dose to 1 tablet with each meal. If you feel you are becoming constipated then cut back on the dose. You may have to stop the calcium completely then start back after you have a BM at a lower dose.

It has been working since the first day I started taking it July 1998 and as long as I take 3 a day (this is the amount I must take it may be different for you) I remain diarrhea free. No cramps, bloating or diarrhea. No stomach noises, gas or pain. If I should happen to have a case of diarrhea for who knows what reason it is very short lived and not the pain involved like before and this I am sure happens to even normal people. It is usually a one shot deal and it is over.

The dose you take with each meal is not the dose that is helping you at that meal it is the prior ones that have time to works their way through you system to soak up excess bile and water in the intestines.

It also works for those of you who still have the gall bladder.

Take Care,


New Member

Date Joined Nov 2005
Total Posts : 19
   Posted 2/1/2006 7:48 PM (GMT -7)   
Look into the Calcium and WelChol too. They both work wonders!!!!!!!!!!!

New Member

Date Joined Mar 2010
Total Posts : 1
   Posted 3/9/2010 7:26 PM (GMT -7)   
about 4.5 mos ago, I got a very nasty stomach infection that caused diahrea, fever, chills, severe exhaustion etc.  After the second day, I went to my doc who gave me cipro.  Within a day the fever was gone, and within a few days the diahrea was also gone.
Soon I realized that my stool was not quite normal, but very acidic, however.  It can burn so bad, that bms will cause bleeding. 
Since then I've, been checked for fissures, hemroids, and I've had an EGD and a colonoscopy.  I do have a an interal hemroid, but other than that egd and colonoscopy came back negative.
While relieved, and I'm still very frustrated with this burning stool.  For the most part it looks normal, but there is a tinge of yellow that I can see on the tp.   4 mos of baby wipes, prep h, and bleeding are starting to get to me.  I have another apt w/ my GI specialist but I'm not confident he will have an answer for me.
Lastly, I've tried probiotics and digestive enzymes but to no avail.
Any ideas out there? 

Veteran Member

Date Joined Jul 2007
Total Posts : 1956
   Posted 3/9/2010 8:12 PM (GMT -7)   
When I experience stool that burns and irritates my GI tract, I see a marked improvement after I eat 2 cups of organic yogurt (it takes 12 or 24 hours to notice the benefits of yogurt). One in the am and one before bedtime. My brand and flavor preferences are: Brown Cow, vanilla. If that's not available, Stonyfield, either plain or vanilla. I skip the flavors with fruit, I figure that's just more roughage that my gut doesn't need. If you find that the vanilla flavor is too bland, try adding a teaspoon of honey and mixing it well before eating it.

I know many people claim success with probiotics but sometimes just the very product - organic yogurt - really turns things around for me.

In my opinion I would much rather go to the source - asking what am I eating or drinking that creates the irritation and burning sensations. Rather than try to treat the burning topically. At that point the stool contains something that is irritating your gut. I find it best to produce stool that zips thru my system w/o irritation. For me a low residue diet helps too.
- Rectal CA 4/29/99, Stage I, 90% sigmoid/15" of colon/GB removed, temporary colostomy, reversed 6-26-99
- Chronic IBS/D symptoms, multiple bm's, on low residue diet
- Colace 50 mg each evening

Post Edited (Marsky) : 3/10/2010 5:16:56 AM (GMT-7)

Forum Moderator

Date Joined Apr 2007
Total Posts : 32602
   Posted 3/12/2010 6:42 AM (GMT -7)   
Please read rules and guidelines.  Post edited for SPAM and Administrator notified.
   ~~ Kitt ~~
Moderator: Anxiety/Panic, Gerd/Heartburn,  
& Heart/Cardiovascular Disease 
*~* *~*

~Today is the tomorrow we worried about yesterday. ~
"I am not a mental health professional, nor do I play one on TV, I just kind of talk like one!"


New Member

Date Joined Mar 2010
Total Posts : 2
   Posted 3/24/2010 6:06 AM (GMT -7)   
I have been reading all the problems after gall bladder removal. I can relate to most of them. My GB was emoved in 2004 and I have not found any doctor to relate to my problems. My wife ( retired RN) also had her's removed years before me and she came up with cancer at the point where the bile duct was tied into the intestine.

Most of my difficulty is with frequent BMs which is difficult to work around. Although Iam 80 years of age, I still work 5 or 6 days a week. Bile leakage out of the rectum gives me the worst problem. I effects me so that I bleed most of the time. I might have to clean up ten times a day.

Doctors I talked to over time has no clue as what to do. Yesterday I saw my GP and he told me that I am his first case of such troubles. For the last few days I am taking Sucralfate 1 mg three times per day. Directions say: two hours before meals or two hours after meals. I took the ladder because I could not see getting up two hours before breakfast. This is a bile binder. I swithched from a 1/2 tablet to a whole one today for better control as advised by the GP.

I also use Galmex which contains 11.3% Zinc Oxide, that is the same used for diaper rash.
I just started this regime a few days ago after having little success with other ointments.

After GB removal I had two operations to remove gall stones from the bile duct. Both times there were three stones 1/2 inch in diameter. Since then I take Ursodiol 300 MG twice a day to soften the stones. Have had no trouble for months. Before that I had the same simptons as before the GB was removed. Also take one capsule of Omeprazole 2 mg once a day to prevent acid build up in the stomach. This is the same as Prilosec over the counter.

That is the story and I wish it helps someone...................Cheers

New Member

Date Joined Mar 2010
Total Posts : 2
   Posted 3/24/2010 6:24 AM (GMT -7)   
In my previous message I mentioned Sucralfate 1MG. That should have read 1 GM. What a horse pill.
Taste like chalk. Sorry for the error.............................Cheers

Johnny 2 U
New Member

Date Joined Feb 2011
Total Posts : 1
   Posted 2/4/2011 10:56 PM (GMT -7)   
I am using "Natural Aloe Vera rich skin cream," and I find it works very well to relieve the burning. If you can find, you'll discover how good it is. If you're in Canada, you can find it at Shopper's Drug Mart. It's a life brand. Good luck!

New Member

Date Joined Mar 2011
Total Posts : 2
   Posted 3/23/2011 6:52 AM (GMT -7)   
did you find a solution for this problem? Please help I have the same thing ! What did you do to solve the problem once and for all ?

Veteran Member

Date Joined Jul 2004
Total Posts : 1293
   Posted 3/23/2011 7:09 PM (GMT -7)   
Has anyone used Lidocaine Cream for this?
IBS Forum Moderator

I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

New Member

Date Joined Mar 2011
Total Posts : 2
   Posted 3/23/2011 8:54 PM (GMT -7)   
I have not. But I have read that other people have use it and have felt some comfort. I don't want to live with this the rest of my life. I am going to see a GI doctor with my mom beacuse she has the same problem on April 4 2011.

Uncle B
New Member

Date Joined May 2011
Total Posts : 1
   Posted 5/21/2011 6:34 AM (GMT -7)   
I experience some of the same symptoms.  I'm 46yrs old and this all started about 4 years ago.  I changed jobs but my family hasn't moved yet.  I live with them on the weekend and then stay with family during the week...its a 4/5 hour drive one way.  I experience the severe burning during and after passing stool.  Some times its not that bad, then other days it is like pouring acid.  The worse it is, the more loose the stool is and a lighter color...and seems to have a clear mucus at the end when I am finsihing up.  I had an upper and lower GI done.  But me on Nexium for the upper (never really had heart burn or anything) and tried a little small round green pill (Reglan)...that might have taken the edge off a little at time but still a problem.  Doctor just switched me to Colestid and started taking today, says it reduces colestriol and reduces intestinal bile acid.  Anyone that can give suggestions I would GREATLY appreacite it.   I saw something about gale bladder problems but the doctor has never mentioned it.

New Member

Date Joined Apr 2011
Total Posts : 7
   Posted 5/22/2011 9:43 PM (GMT -7)   
Went to the pharmacy today to get my refill of lidocaine creame. They said they didn't make it in the generic form anymore. I asked them if they was holding me up for ransom because I really needed it.

Can you believe this. A Pharmacy holding me up for Butt cream! Contacted my insurance company immedaitely. Told them the medicine I got 15 refill for is no longer available as generic. They agreed to pay for the name brand. Just to let you guys know. You can call your insurance on lack of generics.

BTW... Amitiza charge for my insurance was over 800.00 of 90 days. Not a cheap medicine so be carefull. Didn't work well for me after I stopped once.

New Member

Date Joined May 2011
Total Posts : 5
   Posted 5/24/2011 8:22 AM (GMT -7)   
 I feel noticiable improvement with in week.s

Mike saylor

Post Edited By Moderator (**tori**) : 5/24/2011 12:10:32 PM (GMT-6)

New Member

Date Joined Sep 2011
Total Posts : 1
   Posted 9/10/2011 4:40 PM (GMT -7)   

Hello All,


I had the same problem for few months, I couldn't Set down, sleep or even sometimes eat because I didn't want to go to the toilet.


I have been to the doctor and he couldn't find any problem, but I found the solution 3 months ago and Now I have no symptoms at all, here is what you have to do:


1- Buy a natural tablets called P-Cleanse, it is sold widely on the famous auction website and other websites, they are %100 natural and cheap, you will need to use them for 3 Months Continuously.

2- Stop consuming any dairy products.

3- Eat Wholemeal bread; don't eat the multigrain or white bread.

4- If you are drinking a whey protein, buy one Lactose free or with low Lactose contents.


You will be symptoms free in 5 days guaranteed.


Please read about the tablets, they are great.


Thank you

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