See if you can find out exactly what his surgery entailed. A jpouch is not a bag but an false rectum made from the small intestine. We could give you better advice knowing what his situation is. You might ask the GI for codeine to slow his frequency. It works much better and since his is so high, 20+ per day, I doubt lomotil will be any better.
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