CoLah,
I have been using Lomotil 1x daily for the last 4 years. In the beginning when first diagnosed I used nothing, then immodium occaisionally but found it gave me gas, cramps and pain.
Then my doc gave me a script for Lomotil because I was going away so I took it occaisionally and it helped. It slowed down the colon, helped with the urgency and gave me the confidence to get out and live again. I got my GI's approval and started taking 1 a day after my BM"S in the morning and I am great for the rest of the day. No more panicking for toilets, I can sit in a car for hours and go to the park with my kids. That's LIVING. I'm not constipated from it and I do go regularly every morning. He said I can take more a day as needed but I never do need to.
I also found that when I was flaring years ago it helped because I was going less and therefore there was less irritation to my rear end. It helped me retain the enemas at night and so I go better.