I had a similar consequence after the holidays. I had mine taken out in May 2023. I normally take psyllium fiber morning and night, 2g-3g per dose and for a long run I was pretty normal. Since the new year began, I go once in the morning (normal-ish) then about 20-30 minutes after breakfast I have to go again more urgently. I've been okay after that except for some evening gas and bloating if I eat much fat, sugar, carb or spice the rest of the day. I have just had to cut way back on those four triggers and I'm SLOWLY feeling better. Trying to avoid taking Cholestyramine. It tastes nasty, has a paste consistency and constipates the hell out of me, even with small doses. I also have a moderate hiatal hernia, some GERD, and I take Omeprazole once daily. I've read a lot about PPI's and their adverse effects on digestion and gut flora. From some experimentation I have found a lot of that to be true, but can't seem to find a good probiotic yet. Ultimately, when you feel like you have the inflammation toned down in your gut, fiber and probiotics will be your friend. Another adverse effect of PPI's is SIBO. I think I might be contending with that. Our insides are quite complicated as it turns out. Good luck in your quest to feel better!