overall I am ok with my pouch, however I am tired of feeling like I need to go ALL the time. It feels like whenever more stool enters my pouch I get pressure build up and a strong need to go until everything settles into place. At times this can be painful, lasts 20-30 seconds, and can range from once to many times an hour. I have no problems at all holding it, but if I am near a toilet I just want to let it out so the feeling goes away. Unfortunately even after going to the bathroom the cycle starts again not that long after. Normally my stool is somewhat formed, so I don't think it is a consistency issue, and most of the time if I sit to go and am not having this strong urge nothing comes out unless I push. I just don't get it at all.