I use a medication that removes me or my body haveing a choice , it has to taken with each meal and once you take it ,a diaper is not an option ,i have other health challenges that freeze my bowels ,once I take it , it is certain I will fill my diaper 4 X's a day , i don't know when or where it will choose,the dosage is variable I take the least amount to keep my bowels moving ,some people who need this in larger doses have near continuous soft movements or some have multiple extreme hourly movements ,for me personaly being in a wheelchair and not having much sensation ,sometimes I will break wind ,others there is no warning and I will just rapidly empty anything in my bowels spontaneous with no ability to interfere . Being the soft nature stool in a diaper area ,i usually figure it's happening by the stool backing up the front of the diaper "adjusting my genitalia" to accomodate the stools volume ,it is always been contained in the diaper ,but it spreads everywhere , those are the times that having an aide is an absolute must . It is unique as a medication ,a normal laxtive can be controlled and overidden if not a " good time" once this warns you should go ,time is limited,attempting to resist the urge for more than a couple minutes will kick it into high gear until you are convulsively helplessly filling your pants or diaper ,it's a weapon Mussolini black shirts wished they had, effects of castor oil are harsh and violent, you can take or be given this and have no idea why you just filled your pants for the first time as an adult .so there is no chance I will use anything but my diaper.in the prescriber section there is a reminder to prescribe diapers along with this medication ,because if you didnt need or use diapers previously ,it will only be one dose before anyone in there right mind accepts diaper use .