jpouch 3 years later..

What are you eating? Fiber? You might have to cut back on fiber. I find that I can eat a salad maybe once a week. Same with fruit.

Are you drinking enough? I drink too much Diet Coke but throw in other fluids as well.

Probiotic? Mine saves me a lot of trouble - leakage, etc. There are many to choose from. Top of the line would be VSL # 3. It's expensive but works for many people. I take Culturelle now and have take Flora-Q in the past. Total pouch-saver for me.

If you feel like you have to go, go. You may have some sort of issue just inside your pouch that is triggering that feeling. While holding it can train the pouch to hold more, it might be adding to the issues you are having.

Can you cut the codeine in half? Maybe it's too much?

Don't let your jpouch or the bathroom control your life. Bathrooms are a rest stop from life, not meant to live there or be the reason for the trip.

Life, live it!

If you could tell us how your diet is maybe we can make some good suggestions. Diet is one of the biggest factors that would contribute to your transit time or feeling of urgency. Immodium works for a lot of people some prefer the pills others the liquid. Immodium didn't work for me so I had my surgeon prescribe me Lomotil its a lot stronger but still doesn't work for everyone. I agree with VSL#3, I have been using it for about 3 weeks now and it seems like things move smoothly. Before I used the probiotic I would take a Tbsp of Citrucel 3 times a day but not mixing it in with liquid just putting the Tbsp in my mouth and washing it down with a mouthful of water that helped bulk things up.