Hi SS,
Before I forget, you mentioned that you use moistened toilet paper to clean up after a BM. My gastroenterologist got me started on a cream to use on the tiolet paper that I have found beneficial. Not sure if it's available where you are located but it's called 'Zinc & Castor Oil Cream' by a company called Kenkay. Also used for nappy rash. He recommended it because I found it so painful to clean up properly & he said the Zinc has great healing & protection properties in it. Thought it may be worth the mention. :)