Even with the severe bowel urgency I experience, I'm usually pretty regular. I use a bulk producing fiber supplement to keep things "firm" on the advise of my doctor. It has worked amazingly well over the years after I had been having loose BM's. I also occasionally use loperamide when I know I will be out for a significant period of time. Without the loperamide I can expect 3 to 4 (or more)fairly solid BM's a day. All with such urgency there is little chance of getting to a bathroom in time. Last Monday I was going out to eat with some family members to celebrate a birthday. I had taken my usual 4 doses of Metamucil during the day and thought it would be prudent to take a couple loperamide in the afternoon to slow things down and prevent an accidental BM during dinner. This worked remarkedly well and I got through the evening without an accident. Yesterday was also uneventful save for a morning BM. But the rest of the day there was nothing. Aside from some bloating ( I guess from the loperamide), I had no other events. I was a bit uncomfortable from the bloating and was constipated, a rare occurence for me. So in an effort to relieve some of the discomfort I took 5 doses of Metamucil through out the day. By bedtime I was still quite uncomfortable but figured a good nights sleep and I would be back to normal this morning. Yikes! With the effects of the loperamide worn off and a digestive track full of yesterdays fiber intake along with the back-up caused by the loperamide, I awoke with a stronger than usual urgency. Knowing a rush to the bathroom would be futile I willingly succumbed to the painful urge and proceeded to load my diaper. The relief was instant but I was alarmed at the enormous volume (even for me). I was still quite groggy from the sleep aid I use so I stayed in bed. My diaper was wet but not saturated and the huge load in my diaper didn't keep me awake long. However, 20 minutes latter I was awakened by another urge and had an equally large BM. This pattern continued for the next hour. I was to exhausted to get up and change though I know I should have. I finally got up to start the coffee and had another huge BM. It was now evident that a change was much needed as my diaper was alarmingly full.My night diaper is a 24/7 as a "diaper liner" under a pull-up cloth diaper with plastic pants. I had another BM while the coffee brewed and was now in the messiest diaper I think I've ever had. The clean-up was horrible as the load went from back to front.I changed as quickly as I could for fear of another BM. After my shower I quickly re-diapered and went to get some coffee. Sure enough, after a few hours I had 2 more extremely large BM's. The fequency and volume was something I had rarely experienced. I cancelled the day's plans as I was afraid of what still was in me. While I've had good success with loperamide I've never had such a reaction to it before. I don't use it regularly but find it helpful at times.I didn't think I could have that much stool in me. The only blessing was that it wasn't loose stool. Now that would have been a complete disaster.