My evenings generally go like this……no eating past 6 pm. I drink water in the evening. I usually have maybe 3-4 trips to the washroom in the evening, 11 pm a tablespoon of phyillium POWDER, 2 Imodium then to bed. Works most nights. I also use Phyllium powder and Imodium if I’m exercising or a busy day. My pouch was checked internally 6 years ago. Only a small rash was found on 1 side. It’s my belief the phyillium powder neutralizes the acids in my bowel when the stool reaches my pouch. My pouch is 36 years old and is working!