Controlling Anal Painf from Liquid stool

[MTMTexas]

For the past year, my wife has been having almost constant liquid pass and the area around her anus is just totally sore. Our new GI is treating it like IBS/Colitis with wechol and other meds.

My wife lost her entire colon to cancer some years ago. They made a J pouch of small intestine and did anastamosis to her anus  via stripped rectum (IPAA) and she has always had frequent loose bowel movements, but not liquid.

She has been using various ointments and creams containing 20% benzocaine to control the pain. Not always successfully.

During a recent ‘scope she was found to have small ulcers between pouch and anus.
She was prescribed cortisone enemas, but she is so sore that she cannot insert the tip.
She called the GI’s office and told them and there has been no reply for a week.

Is there an OTC topical anesthetic that will really numb the anus so she can take her medication? Or is there another solution to this?

[MTMTexas]

Thanks for your reply. She is already taking Ciproflaxin,plus Flagyl, Pentasa and Welchol.

In assition, She was presecribed the steroid enemas to combat ulcers which fomed between the pouch and her anus; which is so contracted (possibly from the lack of solid stool for 20 years?) that with the constant irritation of liquid stool, cleansing and shrinkage she says it too painful to insert the tip of the enema bottle.

I was hoping for the reccommendation of some OTC pain releiver stronger than the 20% benzocaine gel she now uses which can be used as a "spot" anesthetic?.

I found a Topical called TRIDOCAINE which is from Canada and contains Lidocaine, Tetracaine and Benzocaine

Also Topical anesthretics containg 5% Lidocaine:  and one mixing 18% benzocaine + 2& Tetracaine.

But I don't know which is the most effective.

Her GI is away for 2 weeks now and she needs to start this regimen ASAP.

Ciao,

Tom M

[Ratnakar Kini]

Hi,
Oral antibiotics like metronidazole, ciprofloxacin and glutamate suppositories and butyrate enemas may be tried.
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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.