Painful anal itch

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Veteran Member

Date Joined Jan 2007
Total Posts : 662
   Posted 5/21/2009 7:56 AM (GMT -7)   
I'm 10 weeks out from total colectomy and I still am going to the bathroom 15-20x a day, and alot are lilquidy.   I've had very painful bottom since then, but the last week it's been horrible and so itchy I can't go out.  I've tried Prep H and it soothes for a little while, but then I go to the bathroom again and it starts all over again.  It's a deep pain and deep itch, not on the outside, but inside my rectum.  Any suggestions?  I've done the sitz bath, etc and everything helps  at least a little until I have to go again, which is very often.

Forum Moderator

Date Joined Feb 2006
Total Posts : 5697
   Posted 5/21/2009 8:19 AM (GMT -7)   
You might have a yeast infection. Ask your doctor for an RX of oral Diflucan. If it's yeast you will feel better within a day of taking it. Also for long term butt issues you might try using calmoseptine ointment. It's the best at giving a sore achy butt some respite. You can find it at drug stores that sell ostomy supplies or order it online at

dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free

Veteran Member

Date Joined Jan 2007
Total Posts : 662
   Posted 5/21/2009 8:42 AM (GMT -7)   
Thanks Sue. I'll ask my Dr. about the prescription. I use the calmoseptine ointment; my Dr. actually gave me some awhile back. It's just that the itch is inside the rectum as well as outside.

I'm going to give him a call now. Thanks!

Regular Member

Date Joined Aug 2008
Total Posts : 470
   Posted 5/25/2009 6:04 AM (GMT -7)   

Hi Janie,

I had and continue to have the same problem at times; that is why I only use prep-H wipes, A&D ointment not cream after every movement and my GI gave me a prescription for suppositories.  I tried the prep-H over the counter ones and they didn't work either; it was driving me CRAZY!  This method has really worked for me, the suppositories are hydrocortizone based, maybe you can check with your dr.

I also read your other post about your sharp pain, make sure you have it checked out if it continues but you could have also broke away an adhesion or have a tear that needs healing; heat usually helps the most, I can't tell you how many times I've used my corn bags; my microwave is about worn out lol.  I hope you feel better soon.

I don't know if you read my post on the colectomy 22 site but I'll make a long story short.  I went in on the 7th for my kidney stone removal & came home on the 9th, told dr wasn't feeling well, abdominal pain, started diarrhea in hospital, he said probably part of surgery. Started vomiting  on way home, diarrhea x's 20 the next day, called him 3 more x's saw him on Mon., he never examined me just ordered a CT scan, they couldn't do it for later that night, by then still severe diarrhea, extremely bloated and extreme abdominal pain.  Office called next day and said to come down right away bc my bowel was dying and I needed to see a surgeon.  I said I was going to my colon surgeon so we went 3 hours away. My GI dr did a scope didn't find anything except severe inflamation and dehydration.  Put me in hospital under surgeons care called next day to say I had c-difficile infection caused by too much antibiotics from kidney surgeon.  Luckily I didn't go to that other hospital bc they would have aken out the rest of my colon and given me a permanent bag.  One dr told me that I almost died; I've never been so scared or sick even when I had pancreatitis.  It's a slow healing process, but I'm starting to get better :-) . I'm so grateful for my drs and their knowledge.

I hope you can get things worked out and remember to never let a dr over medicate you, our systems are a lot different now.

Take care,


spleen/appendix/gall bladder  removed/endometriosis/complete hysterectomy at 29/sinus surgery/numerous allergies & asthma/chronic kidney stones/ pancreatitis 3x's/2 knee surgeries-now need replacement/shoulder surgery w/ pins-which also froze following surgery/severe adhesions & scar tissue-stomach to chest-liver to ribs-colon to pelvis/severe IBS w/ constipation/subtotal colectomy 7/08-
Am now down from 17 meds a day to 8 and VERY healthy:)
There's always hope and things will get better :)

Veteran Member

Date Joined Jul 2007
Total Posts : 1956
   Posted 5/25/2009 7:46 AM (GMT -7)   
This might sound really gross but sometimes a gentle massage helps relieve the itch. I would recommend a warm sitz bath, being as clean as possible and washing your hands well. You might want to try an appropriate ointment (KY jelly? Aquaphor?) and then massage the area. Even slightly inside. It does help. I did this and it did help. Get everything ready before you start and make sure you have the bathroom to yourself (door locked). Again, I know this may sound odd but this area of the body has so many nerve endings and when they're healing, they itch. And it helps to massage this area.

See if you can also find relief from a prescription but a simple massage may help you too.

I hope you feel better soon!

Marsky/Mary's story.....
- Diagnosed with rectal cancer, April 1999 - Stage I, no treatment necessary
(5 hour colon resection: 90% sigmoid removed, 15 inches of colon removed, gall bladder removed, given temporary colostomy)
- Colostomy reversal, June 1999
- Left with IBS/D symptoms, multiple bm's every day
- On a low residue diet at least 75% of the time
- Takes Colace 50 mg each evening

All in all I do okay, I just use the bathroom A LOT! But I survived and beat cancer!

Veteran Member

Date Joined Jan 2007
Total Posts : 662
   Posted 5/25/2009 3:32 PM (GMT -7)   
Thanks so much for the advice. I know this is disgusting to talk about, but it does feel so good to massage it, and I did!!...thank goodness I'm much better now. Eating just about 1/2 cup of chili tore me up for almost 3 days. Never again! I'm finding out that if I behave myself and am pretty careful about what I eat, I do much better. Last week was just a big NO NO!

Thank you as well. My pain is much better. I did call the Dr. and was told it was most likely a small tear, and I used the heating pad and thank goodness it's been much better. As I said above, I've been much better about my eating habits this week, so the sore butt is much much better. I KNOW ice cream will give me the runs, but sometimes I just don't care. This week however, I've given it up until my butt gets better! LOL

It sounds like you had such an ordeal. I'm so glad things worked out and that you went back to your colon doctor. To think you might have had a bag when you didn't need one!! I have to say I was so impressed with my colon doctor's office on Saturday. I called the answering service, left a message and the Dr. called within 3 minutes....then the answering service called about 10 minutes later to see if the Dr. had called. It feels good to have confidence in your doctor, doesn't it?

I'll have to get the prep H wipes to keep on hand! Thanks for the idea.
Hope you're feeling better!
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