Red, wow that is alot of bathroom trips. Have you tried holding it for as long as possible when you get the urge. Also you can eat thickening foods. Like rice, potatoes, bananas, applesauce, and peanut butter. There are many more. You can Google stool thickening foods. Try metamucil, follow directions on canister. It also thickens stool, making it easier to hold. You haven't said you are having inconvenience at night or going to the bathroom only to go a tiny bit. I would then suggest maybe you are having some inflammation, like pouchitis. Hope things slow down for you. 40 trips to the bathroom is just to many. Try to stay hydrated also.