I hardly ever have diarrhea, cramps (except at release), abdominal pain, fever or nausea, or any other IBS symptoms. Naturally, I tend to
gain some
weight during this buildup. Not sure if it's relevant, but the blowouts usually happen at night, just before bed, or during bedtime.
I am a healthy male, in his 70's. I take alpha blockers, beta blockers and omeprazole daily. Additionally I supplement with multivitamins and probiotics.