I too have had problems emptying... I can come close if my last meal is at 2pm! That's crazy! And they say not good either as you should eat small and often and keep the pouch working. Doesn't feel good when it's completely empty either! I think I'm learning that just becuase others in here can empty, that may not be me. My dr did say my pouch ended up on the large side so maybe emptying before sleep is just not In the cards for me. I am
finding that I cant tolerate fiber to help bulk things and go less often, the bloating and gassy are worse than going to the bathroom! I'm eating a bagel and cream cheese in the mornings to keep me full and bathroom free for a few good hours as I've tried to go back to working a part time job. Small snacks then of applesauce and yogurt or some chicken and cheese and pretzels. I also had burning an itching problems eating too much protein- tried a bit ago to cut out sugar since that's what everyone has to say about the burning and itching. Well guess what!? Look up what happens with digestion when you eat too much protein-BURNING! I'm trying to fins some balance now but I am semi low residual and added foods. Not great for the sugar I take but I'm a work in progress. I have started pelvic floor therapy and you may want to look into that. Got referral from My doc and have been doing that for a few weeks now. I am loving it and looking forward to going to those appointments twice a week, very insightful. Things that I hadn't thought of for sure! Anyway, you aren't alone! Finally got a decent night sleep last night!