Before my J pouch creation, I had an illeostomy and colostomy bag for many years and my Surgeon and Consultant recommended no more than 6 Imodium per day, which I took 2 in the morning and 2 before bed and if I expected to be out longer than normal, I take 2 more, otherwise I only took 4 in total.

Since my J pouch surgery, my Surgeon has suggested I take no more than 3 Imodium throught out the day, allowing myself to decide as to whether I need it or not.

As it happens, I don't think I actually need it, although there's a noticable difference to output consistency when I take it.

I tend to visit the bathroom 3 or 4 times per day, sometimes 5, although, it varies from day. no night time visits but I do endure leakage during the day.

Imodium thickens the output and when I had the colostomy bag it slowed my output down, so less frequent bathroom visits.

I believe it also assist with hydration, due to the slowing of the output, more fluids are absorbed into the body, I guess from the small intestine, J pouch or remainder of the bowel with an end illeostomy.