I'm 12 years with pouch and very happy with it. Jan likely had the best advice (as well as a couple of others)... Time and patience is key. It's amazing to see how your body adapts to its new "plumbing" but it takes time and patience. Things that worked for me were metamucil. 1 or 2 tsp in 1 or 2 ounces of water... alternatively, plain yogurt mixed with metamucil. I used to take 2 - 3 immodiums a day but got off of that about 2 years ago. I find metamucil is a better option for me ... but everyone is a little different. Over time you'll find what works best for you!