Busy or not I can have a bowel movement at home , in the car or worst of all in a store I do take Lomotil in the morning an d it helps slow down the bowel activity I am on Entyvio and it is helping but I am not in remission by any means Just went to my GI and she said to give the Entyvio more time I have been on it for 9 months now I will say it has helped me gan weight but these accidents are awful!!