My son is often up one to times a night with formed leaks. He does not have any other symptoms of pouchitis. He does not feel badly, he has no inflammation and his stools are not liquid. Those three things were the signs that he had pouchitis. (He is also on rifaximin since March to control the pouchitis.) A month ago he had a week of no leaks and the only thing different was he was exercising a little more than he is currently. I don't know if that somehow played a role or not. This goes back to another thread - can you have incontinence at night without pouchitis? And why? And what to do for more sleep? My son takes immodium but it does not stop the leaks. And the leaks ultimately wake him. Very frustrating and hard to combat the fatigue. A year ago he may have gotten up more times so I would guess that his diet ( no dairy, no soy, low gluten, low sugar, low fiber, no asparagus, no raw vegatables, has helped him.