Perineum LS

Almonds and other nuts and seeds seem to be a particular culprit at least for me. A tip on the diet, every author you will read on this seems to have a good plan with a month or so of meals. I had to simplify the whole thing. First understand what to avoid, the look at the list of what to eat. Keep your meals simple. Don't feel like you have to cook all the recipes on a meal plan especially if you don't already cook a lot. 

I find that that str frying is a simple way to get vegetable and meat variety. I make my own broth and have a lot of soup too. Green smoothies are a good way to get veggies in too. It's all about getting lots of nutrients to support your immune system and digestive health. Fresh air and sunshine are also important. Also meditation or yoga or evening walks to de-stress. Best of luck to you.

I believe that a good moisturizer (I use organic coconut oil) keeps the skin supple

and helps prevent the itchiness and splitting, how ever you must also use the 

steroid cream..  

Attacting this affliction is a constant battle but when you find what works for you 

it wil be a relief although not a cure.

 

Dermovate isn't causing the tear, Jess. I had the tear off and on for 40 years. After two years of treatment, when I do get a flare, the tear is shallow (no bleeding) and heals quickly. I put vaseline on thickly to act as a barrier to urine and to keep it from stinging.

I get cuts from time to time on my perineum area.  I find that Manuka honey applied asap is the fastest healer for me.  With this condition we have to use the steroid to reduce the scarring.  I am having a problem with scarring closing things and wish I had used the steroid more.  I also found that the splitting tends to occur on areas that are not kept moisturised and are wet a lot so I try not to wash with water too often.  I soak for 15 mins with bicarbonate of soda in water before treating with steroid (which I know sounds like a contradiction but after this the scar tissue is softer which allows the steroid to get into the skin and so do its job). I only do this twice a week and then keep the area as dry as possible at other times.  I also wear incontinence pads to help keep things dry and change them frequently.  I moisturise and clean the area with Epaderm ointment after each visit to the loo.  I also wash with this to keep the area free of perfume.  The flare ups happen when I am less vigilant.  I also think diet is important.  Good luck.