My pouch never needed a certain position. My aging joints, however, do. lol. Stupid left rotator cuff forces me to mostly sleep on my right, but either side worked for me prior.

I have to sleep on my right side for the most part. As laying on my left causes my pouch to be more active and upset. I normally cant sleep on my back but I do once in a while and it is a 50/50 mix as to if it causes any issues with the pouch.

Thanks for starting this conversation! I often wonder if my sleeping position effects my j-pouch - I think it does.
On my back I am so-so. I try to stay that way if I can, because once in a while I can actually pass gas that way without "sharting".
On my right side I am OK for the most part. I don't feel any changes, but if I roll on to my left side I have to "go" within minutes (or less!). Very peculiar! I wonder if it is how my j-pouch is shaped that makes the difference on what side I sleep on. And if it isn't that, then I wonder what it is. I hope more people chime in to this conversation. I will interesting to see if there are any trends, or if it varies person-to-person.

good to know it's not just in my head. i do best on my back or left side--i can't do the right side either.

I'm pretty close to buying a bed wedge...i slip off my pillows when i try to make Mt, Everest and if my back is elevated and my butt is in a sense "planted" into the mattress i feel less sensation....not a real fan of hashtagging and i know the site doesnt support the function but...#jpouchproblems lol

When I had a colitis flare I could never sleep on my left side or it was bathroom time every time I laid down or switched that way. My right side and my back if I'm sleeping on the couch only feel the best. If I sleep on my left side both sides hurt and I used to love sleeping on my stomach which I can still do now but it feels like there is a lot of pressure and stretching where my scar is. I would say on my right side is my most comfortable sleeping position. I don't think it makes a difference how often I get up throughout the night though.

Jason, didnt you have a theory about its the way our pouches could be setup from the get go? I def think your on to something there. such varied responses.

My pouch is least active on my right side or back. I'm most comfortable on my right side. If I have gas pains I lay on my left side till it comes out, it's the only way I can pass gas.

Ahhh...I was wondering about this last night when I was unable to sleep. I sleep the best on my back and do alright with the left side. Turning to the right gets my pouch going!!! I'll ask my surgeon about this the next time I see him.

i should have asked my surgeon as i had my first scope yesterday, it seems i can pass gas on either my left or right, rolling between the two sides to move it around to get it where it should be going probably looks hilarious lol

When I'm having issues - which is most of the time - I start out on my back, in a slight inclined position. This seems to let me force myself to relax during spasms and cramps, without the feeling that I am about to lose control.

It seems that changing positions is more likely to produce an urge to go, no matter which side it is, so I try to get comfortable and stay put as much as I can.

Interesting post. I could sleep on any side or my back for about five years post takedown. Then I had a horrible case of cuffitis along with something my doc had never seen before. He called it a fizzure for lack of a name for it. I was in a lot of pain and suddenly had to go every time I slept on my right side. This has slowly, as in over four years, gotten better, but to this day, I can only sleep on my right side if I have just emptied my pouch.

I never thought this was a pouch thing. Now I know it can be!

It looks like a failed construction zone in my bed...small, medium and large pillows + a body pillow all over the place...I have 3 piled under my legs and thighs if I want to lay on my back but if I am on my right side (left is impossible because it makes my un-anchored k pouch flop over)I need the body pillow so I can throw my whole left side half way over it (fetal position with arm and leg flung over the top of it)...sleep feel like work nowadays instead of rest...every time a pillow moves or slips it wakes me up and I need to re-position...the zone behind my pouch cannot touch the bed or I am miserable...didn't mention this one in the little 'what to expect booklet'.
Sharon