Connie, you'll probably benefit from being willing to try small changes to see how they work for *you*. In the meantime, I can tell you what works for me, to get you started. I usually sleep through the night. I drink a full dose of soluble fiber (Metmucil and Konsyl mixed, 1/2 dose each, is my preference) at dinner time. I take 1 Lomotil tab at bedtime, and usually none during the day. If things are in any way concerning I bump that up to two Lomotil at bedtime.

Some folks also avoid eating after dinner. Others get benefit from a small, fatty meal at bedtime, like a spoonful of peanut butter.

Just in case: have you ruled out (or tried treating) pouchitis? Nighttime leakage or urgency can sometimes be a sign of that. It's usually pretty easy to treat.

Good luck! 

Connie I had the same problem and some days (nights) are better than others. I always take 2 Lomotil and 1 Imodium before bedtime. I also started a probiotic that is a medicinal probiotic that has changed my life! It's called DSL#3 which has to be ordered by your gastro doctor. It comes in powder form and needs to stay refrigerated. I mix it with applesauce and it's really changed the quality of my life since the reversal!!!!!!! Try it... it can't hurt!! Good Luck Connie and hang in there! It's all trial and error but you will find what works for you!!!! Keep us posted! ❤️��❤️ We are all here for each other so don't give up hope!!! ��  Janie

Just so no one goes searching for a nonexistent probiotic: the correct name is VSL #3 DS. The DS (double strength) form is by prescription only, and some insurance plans cover it.  I use a lot of it. It works best at preventing pouchitis. 

Thanks Scott ... you're right!  VSL#3 DS  

Janie