Hi Chosen. I have had a j pouch since 1996. Since then I have had many good and bad days, and up till about a month ago I wouldnt go to bed without a pad in case of an overnight accident. I have been dealing with painful bloating and gas, disturbed sleep sometimes waking up 2 to 3 times a night, butt burn, anal fissures, frequent bouts of urgency. I had a call with my doctor about a month ago, and I realized on that call that when I take immodium, the time of day taken matters. I take just 1 imodium just before dinner each night. I may take 2 or 3 trips to the liu before bed, but I've been able to sleep through the night and not wearing pads because the accidents stopped. I think if you try using the fiber drink during the day and a nightly dose of immodium just at dinner time, see if that can work for you. Best of luck.