Other than the need to urinate more, has very little effect on my number of BM's or output,

I've suffered from fatigue and dehydration, to the extent of requiring emergency IV fluids, therefore my Doctors has suggested I consume at least 3 litres of fluid per day.

Specislist at the hospital have stated, that rather than measure how much fluids I'm drinking, it's easier to observe how often I urinate; ideally I should urinate no less than 3 times per day.

Urine is waste; what the body no longer needs and our body gets rid of excess fluid through urination.

I also take Imodium 3 times per day, I've never used Metamucil

If you have a J-pouch, withholding water is quite risky. Like Strange, I just find that drinking more water makes me pee more.

One Metamucil wafer is a small dose of psyllium. Adding a second wafer might be more effective.

Scott: How much Metamucil do you take usually?

I take the dose suggested on the package label, before breakfast and before dinner. It's different for everyone, so I recommend experimentation. 

Yeah, I'm still trying to figure things out, even though I've had my pouch for 12 years now.  i never really cared too much when/where i went since I was in school this whole time.  I just recently started taking Immodium daily and last year was when I first started taking the Metamucil regularly.  The problem I'm facing is that I'm getting too clogged up.  I tried reducing the dosage, but that didn't have the slowing effects I wanted.  

Yes, I agree with you. Yes, the more water I drink the more BMs I have! I also drink a lot of water when not at work, and drink very little at work.

Becky

I have noticed that if I drink water too quickly then it will increase BMs.  So I try to sip throughout the day.  

I do find it hard sometimes to control BMs when I do have to pee.  So I do often go a little more when I have to pee.  

An easy way to know you are drinking enough water throughout the day is to observe the urine color. It should be a pale yellow, almost white. Also your mouth should not have that thirsty feeling. If it does drink water.

Ray

Scott: I think you had told me in the past that you also take Immodium daily as well?  Do you find that two Metamucils + Immodium clogs you up?

I generally take one Lomotil at bedtime only. I've been lucky enough to never get clogged up, but I always drink plenty of water. I think a J-pouches intentionally reducing fluid intake is making an error.

For years I pooped whenever I had to pee. Eventually I decided I was better off just peeing many of those times, so I worked pretty hard to get the hang of it. I think it's better overall. In particular, drinking plenty of water no longer fools me into thinking I have to poop more often. 

Scott F posted:

I generally take one Lomotil at bedtime only. I've been lucky enough to never get clogged up, but I always drink plenty of water. I think a J-pouches intentionally reducing fluid intake is making an error.

For years I pooped whenever I had to pee. Eventually I decided I was better off just peeing many of those times, so I worked pretty hard to get the hang of it. I think it's better overall. In particular, drinking plenty of water no longer fools me into thinking I have to poop more often. 

So you just held the poop? 

Yes, I hold in the poop (if there is any) when I pee. I think it helps with overall control and with pouch capacity.

I find that if I don't drink enough water, I still need to go but get incomplete emptying.  Drinking more water means I empty better and an more comfortable.  I also find taking loperomide or too much fibre has the same effect of restricting emptying.  It surprised me but reducing actually helped...

Best advice is to keep trying new things, and don't forget to retry stuff you already discounted.. your body changes, as do other subtle things like diet.