I’d guess pouchitis - it can behave in different ways. A short course of Cipro or Flagyl will probably clear it up.

I would definitely recommend to call the gastro's office and make an appointment to get checked out by a professional.

Have you had pouchitis before?

@Scott F posted:

I’d guess pouchitis - it can behave in different ways. A short course of Cipro or Flagyl will probably clear it up.

Thank you I was thinking maybe it’s a little different this time as well

I have leakage at night occasionally-like a few times a year.  It is usually accompanied by a bloated belly for a couple days beforehand.  I take a bunch of probiotics the next couple days and it seems to go away.  Sometimes I'll take a short course of oregano oil as well if there is also fatigue paired with it.  It is usually a small amount of clear liquid that is smelly and it wakes me up because of the sudden warm feeling, but it doesn't feel like I'm pooping. It feels like nothing.