Yep, hear you on the tired of it part.
The fibre supplements that I've found very helpful are the Metamucil capsules. I started with one at breakfast and supper for a week, then graduated to two then three.
If I was eating 3 meals a day, I would take them 3x, but I don't.
Anyhow...you might be able to up your Align?
I hear you on the imodium and how you take it works for you. It's not a bad thing, but it might encourage more of a reaction afterward....that's why I'm suggesting the fibre supplements.
*Heather* Status: maintenance Asacol 6 daily + Salofalk enemas every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~UC meds: Asacol (3 x2 daily); Salofalk enemas nightly for flares & taper to maintenance
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux); Effexor XR 75mg(depression); Pulmicort/Airomir (asthma)
~vitamins/minerals/supplements; Probiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls). @ bedtime
~various digestive enzymes as needed
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!