Hello Aloysius...many thanks for your reply. I am familiar with some of the meds you mentioned...for sure taking sleeping aids are a big problem, for as soon as the body totally relaxes then the problem begins. I guess it's a trade-off...less sleep and no mess or the other way around. I tried Lomotil and other similar meds like Immodium...also had a bunch of the pelvic exercises to strengthen the muscles in that area. Some days are better than others...depending on how late you eat and what you eat. It's amazing how much stool the body holds. Every time I think I am empty...boom! Another load arrives. I think one has to go with the flow and be grateful that we are not worse off than other afflictions. Lately I've had great success with antibiotics (cipro) and the bacteria infection I had in my pouch has cleared up, so I am really grateful for that. No more of those horrible cramps, urgent urges, and sitting on the potty when nothing happens. Thanks again and best wishes, Lionel