Lol. I used to get embarrassed on the noise and smell, but now I don't care, i let it out and it feels good. I can say that metamucil is a game changer for sure. Gax X is also combined with immodium and metamucil it is a lot less noisy and smelly. I wish the best for all my fellow pouch buddies, and those without. It doesnt have to feel like a life sentence of discomfort. Find out what works and go forward.