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Reply to "Never tried Imodium/Loperamide. Is it truly beneficial?"

I used nothing for 7 years post-pouch and did just fine.  Then I developed a fistula and surgery for that damaged my sphincter, rendering me functionally incontinent.  Using Metamucil and Imodium before meals helps me avoid leaks/accidents.

Later I developed chronic pouchitis-I still take the above to manage incontinence but layered on antibiotics and Imuran to treat the pouchitis.  I'm not sure that metamucil or Imodium would help prevent or treat pouchitis BUT if you had a low-level, simmering pouchitis (like where only noticable symptom was more watery stools) they could help treat that pouchitis symptom.

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