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I am 13 years post-op on my three stage j pouch surgeries. For about the past 6 weeks I’ve had nighttime fecal incontinence - it’s typically more like a watery leakage than an actual BM. Really hasn’t been a problem all these years til now. I’ve tried lomotil and/or Imodium also various antibiotics; also tried not eating evening meals. I’ve taken a probiotic and consumed fiber wafers daily since 2012. Nothing seems to improve or worsen this new incontinence.  
Has anyone else experienced this issue so long after surgeries?  I have almost no issues during the day aside from the periodic urgency to use the restroom.
Any adivce, tips or hints would be much appreciated!

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I agree with Doug - this is often a sign of pouchitis. Occasional nighttime “events” may not mean much, but 6 weeks isn’t occasional. If neither Cipro nor Flagyl have worked individually you could try them in combination. That’s what currently works for me.

One intervention that helps some folks is a small fatty “meal” at bedtime, like a spoonful of peanut butter. This won’t fix pouchitis, though.

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