If you have not investigated trying the LOWFOD diet, I would suggest it. The Creon and Lowfod diet, with generic peppermint oil from CVS, did wonders for improving sudden bowel urgency. At this point, I may have leakage only 2 or 3 times a month, but there are occasions where it stops completely for as long as two to three weeks, with improved energy for the same duration. No soda, low sugar, no fried foods. I stay away from garlic and onions as those seem to increase urgency severely.