If you have a jpouch then expect to see improvement in 6 week increments. It's a long slow recovery but you should get better over a period of time. Definitely start taking metamucil to bulk things up. Many say that the wafers work better than the powder. You will need to experiment with how often you eat them and how to balance things with lomotil. Lomotil's purpose is to slow your transit time down; metamucil will bulk things up.
I never had to wear diapers. If you have significant leakage then you should start doing kegels to strengthen your sphincter. The muscle can be traumatized during surgery and needs exercise to tone and strengthen it. I also recommend you visit www.j-pouch.org for more tips. There are over 6000 pouchers on that site that can be of assistance.
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free