I was 38 when I got my J pouch as a result of ulcerative colitis. I am now 64 and have survived without any prescribed or over the counter drugs. My surgeon told me to keep fit and keep abdominal muscles strong to help with toilet visits. I have done this by swimming and paddling. In the first few months I trialed imodium and metamucil but my real assistance came from smoking cannabis. Just in the last couple of years my anus has become irritated and painful after pushing out my waste. It is just wear and tear and not much I can do other than relieve with KY gel and baby oil. It is over after 10 minutes or so and then I have a great time until the next toilet visit which is normally 2 to 3 hours away. I decided to give up cannabis about 6 years ago now to but within 5 days I had high blood pressure, increased toilet visits, headaches and lack of sleep. Thankfully a return to the miracle weed sorted things quickly and I smoke 2 or 3 times every day and exercise 4 to 5 times a week. My specialist and doctor have both advised me to keep things as they are very happy with my history and progress.