Lactic acid, a by product of incomplete digestion of fructose, lactose, sorbitol, and mannitol, will leak out from the colon and produce severe inflammation. Continuing exposure to the acid will create micro fissures that the opportunistic bacteria thrive in, contributing to the itch cycle. The application of hemorrhoidal creams is not a wise course of therapy. The analgesics in these creams are also acidic and will multiply the effect of the lactic acid. The oil base of these creams will also provide a supportive environment for bacteria.
Cortisone creams are also of little value.
While they will temporarily reduce the inflammation and relive the itch, they suppress the body's defense against bacteria, allowing the organisms to multiply more freely. The base cream is also a good environment for bacterial growth. Topical antibiotic creams, especially broad spectrum formulas can be effective remedies. However, cleanliness is by far the most valuable treatment. The use of premoistened towelettes after a bowel movement and at regular intervals during the day is an effective regime against both bacteria and lactic acid.