How is the incontinence happening? Is it occurring at night while you are asleep or is it while you are awake while attempting the usual suppression of the urge to defecate? And is it a little bit of leakage or significant amounts of fecal material into your pants?

Why don’t you think you have pouchitis?

It doesn't feel like pouchitis.  I have daily issues which isn't too bad, usually just spotting.  At night I can have a significant amount

Even if it feels different, I’d suspect pouchitis as the most likely cause.

I would also suspect pouchitis.

Leakage at night is always my signal that I’ve got the ‘itis. A couple of weeks of antibiotics usually clears things up and stops the leakage. Worth checking with your GI.

Same with me. The nocturnal  incomtinence is always the sign that something needs to change. It’s not going to stop until it gets treated.

Happytimes... I have the same issues. I had a pouch redo 2 yeears ago and ever since I get very slight leakage too, I always wear a small pad stuffed up to the anus just in case. But if I eat to soon before bed there have been times where I have crapped myself. I don't trust farting off the toilet either. And I have been scoped a few times since surgery and no pouchitis. Dr Remzi told me a redo with mucousectomy could be result of this. I think its nerve damage. I have had the manometry test to test sphincter squeeze, and its normal. I think a lot has to do with my diet too though.

Thanks to your replies.  I'm going to call the doctor on Monday and get in and see what he says.