I get Immodium back-lash too, the day after I take it I go all the time! It's like the colon starts working again, & bam! I don't recommend using it unless you absolutely HAVE to leave the house, or have a special occasion/function to attend. To be honest, 3-4 bm's a day sounds good to me, even taking urgency into account. I only use Immodium if I'm up to 6-7 bm's & I still haven't left the house yet!