Yes it certainly does make it a challenge. Even if I have the energy, the paranoia and the embarrassment of going out can make it challenging. With time, I can get prolonged periods of decent energy and no diarrhea. It can come on suddenly, though, even without an upset stomach, so best to be prepared when going out by knowing where the bathrooms are, and keeping a change of clothes in my car. It's a pain in the neck to plan for this, but for too long it impacted my social life so much that I broke down and changed how I approached going out, or even something like staying in hotels. Life is short and I am not thrilled with the options but I want to take advantage of the days I do feel well.