My first year I went 15+ times a day/night, two years later it was down to about five times. If you still have problems, you're doing something wrong. I can only suggest a regimen helped by a good surgeon who stayed with me, and things I learned. Diet don'ts: No coffee (none), I drink Berry's gold blend Irish tea - buy online. Drop a bag in coffee pot (not basket), fill to 6 cup line. I don't like American tea. No/very little dairy, booze, beer, cut way down on gluten and yeast products (no white bread). No fried or spicy food. Substitute rice for potatoes (I like basmati). Important, take a tsp three times a day of psyllium fiber (Konsyl or CVS brand), Metamusil doesn't work. Mix with a little juice, shake and down the hatch - it adds bulk. Take two Immodium with each treatment morning, noon and night. Acid reducer pill at night, you're prone to ulcers. Keep water close, you're always close to dehydration, you have no colon to absorb fluids. If your butt always feels like its going to pop, you probably have a diet/gas issue. There are other things I do, but for anyone reading this, its a start. One last thing - its rare I take them anymore, but my doc prescribed 30mg codeine sulfate tablets. I'd take one at bedtime or before a social event - it bought me 4 hours of no going, and it didn't mess with my head. Opium addicts have chronic constipation - enough said on that. Sorry for long winded treatise, but this is a complicated condition. Hope it helps. PS..exercise three times a week. Commit to getting your life back.