Usually if the leakage is just at night, it means a weakened pelvic floor. My doc recommends kegels. Do you do them? Also not eating too late at night, not drinking a lot of liquids before bed, not taking alcohol or sleeping aids (if u are), taking anti diarrhea or antispasmodic before bed, might help. Does not mean failure

I haven't had pouchitis yet (knock on wood) and I will sometimes have leaks at night depending on what I ate during the day, like steak and excessive sweets. Also, it might seem weird, but I'm more likely to have some leaks if I sleep on either side, so I try to stay on my back all night.

My son has had a mostly healthy pouch for 11 years and has always had periodic nighttime leakage sometimes significant. He knows he probably could control it with diet, but at this point is unwilling to sacrifice eating whatever and whenever he wants.

I've had my J Pouch for 6 weeks and I leak probably 3 or 4 nights a week. It not usually a lot, but enough to put a small wet spot on my underwear and is annoying. I'm guessing it happens when I pass gas when sleeping. I would love if it stopped.