If the bowel movements and incontinence are coming right after eating, you may have a motility issue. Loperamide will not help for motility issues- it's an anti-diarrheal, not an anti-spasmodic. You need to take an anti-spasmodic 45 minutes before meals and at bedtime if in fact that is the issue. I had a lot of motility issues right after takedown. It can be out of whack for a while after any bowel surgery.