I've had my J-pouch for over 15 years, and during the past two, have begun to have night accidents(never had a problem leaking at night before). Not a regular thing- the ends of the event spectrum are from twice in a night to maybe a few weeks without. Usually once or twice a week on average. Sometimes I'll wake and catch myself before much(or any) fluid escapes, other times I'll wake up realizing at some point I expelled as much as 1/4-1/2 cup.

Nothing I can link as a cause. No change in diet, habits, meds, etc. After the first few dozen times I thought maybe my sphincter muscles were getting lazy, and started doing some Kegle-style exercises, but did not get any results I could say that it was effective in any way.

The closest thing to a 'major' change is that I previously wasn't a regular antibiotic user (to fight pouchitis), but I have been the past 3 years or so (so not a direct time-line link: the accidents started well after regular antibiotic use), rotating between amox,cipro, and flagyl.

I've learned to live with having a J-pouch just fine, but this relatively new turn has me worried, thinking long-term, is this going to get worse ?

Does anyone have any insight as to why this might be happening now, as opposed to right from the start? I've tried various things, such as not eating 6 hours before bedtime, but can't find a 'cure'.