This is most commonly a symptom of pouchitis. It’s usually easily managed with 10-14 days of Cipro or Flagyl. There are other possibilities, but that’s where I’d start.

It only happens to me when I have a peri-anal abscess, have eaten too many tomatoes or blueberries, or am jet lagged.  It took a little while to figure it out.  I don't have IBD and have never had pouchitis but I would imagine that that would be a primary cause as well.

That's happened to me from time to time. Now I take generic gas-x at bedtime, and it very rarely happens anymore.

thank you all for your responses

Marvin's Mom,

I have had a jpouch for 20 years and an occasional problem is just something you  need to prepare for, I routinely put 8 to teen sheets of toilet paper in between the cheeks I sit on when I go to bed every night.  Most nights nothing happens but if something does, it generally doesn't cause a fuss.

@Scott F posted:

This is most commonly a symptom of pouchitis. It’s usually easily managed with 10-14 days of Cipro or Flagyl. There are other possibilities, but that’s where I’d start.

I agree with Scott. Nighttime incontinence is the first sign of pouchitis that isn't being treated. In my case I only get it very rarely and it disappears quickly with low dosage coupling of cipro and flagyl (in my case) and either or in most others.

I second all the above answers and add to this….when everything is working as it should and I don’t stop eating at a certain time at night- this will happen. Usually stop eating 3-4 hours before bedtime. Eating all my calories in an 8-10 hour window and then resting my intestines the remainder of the time is a must for me too. I truly hope you figure out your system.

I agree with Marvin's Mom, I also use sheets of toilet paper each night and rarely have any trouble.

I find that it is more common for me to have accidents during the night if i take a stronger medication to help me sleep.  I also use Gastro Stop of a night to block my bowel so i can have a better sleep at night.