What I mean by this is that the ADA recognizes it as a disability and you can get work accommodations for it, but the ADA does not require access to public bathrooms to be made available. I view it as an accommodation similar to wheelchair ramps on sidewalks or businesses, the law should absolutely change.

Some states have enacted their own policy that allows you to carry and show a card that states your disability and forces businesses to open their restroom to you, even if its employees only. This should be done at the national level though.

I’m not an expert on this btw, this has just been my own experience and research on it having IBD myself.

I don't have it, I just need to piss sometimes without a public indecency charge