At home I have a bidet so I spend a few minutes on the throne. It feels so good! When out and about I don't spend much time at all on the toilet. Every time I need to urinate, I naturally empty my J-pouch. No straining is necessary. I use Calmoseptine only when I really experience butt burn. Not always then, either! I eat and drink whatever I want! My J-pouch is a miracle and it is my new-normal! I've had it since 2002!