I am three years out and could not sleep well the first two. I took ambian when needed to fall back asleep after getting up. Although I am still up once or twice a night I can often fall right back asleep without meds which has made a world of difference. Try eating your bigger meals earlier in day and graze for dinner. Make sure you drink too and try and empty pouch as fully as possible before bed. Finally, you can try lomotil or immodium before bed.

I agree with the above, and would add: are you sure you don't have pouchitis? I sleep through the night unless pouchitis is out of control.

I have always had success with ambien to address sleeping issues. However it is addictive and my Doc does not like me taking it more than 30 days. I have also used benadryl and melatonin more recently.

However, sleep aids are not going to stop you from having to go to the bathroom. So it may end up in your pants if there is an unaddressed pouchitis issue. Another treatment option is to take levsin or bentyl and an imodium at bedtime. If that does not work I would agree with Scott F that it could be unaddressed pouchitis, especially if you start sleeping longer and it ends up in your pants.

For me, after 28yrs of my pouch, if I really need sleep, I will take an immodium after dinner. That way, by the time I'm ready for bed the meds kick in. I may still get up once, but not the 2-4 times that I have at times. I also will try rice pudding for dessert... Great natural way to slow things down for me. Good luck, it gets better. You learn over time what's best for your body!

I also agree that unresolved pouchitis can cause accidents. Since I have chronic pouchitis and I have been sleeping for longer periods of time, this issue has recently cropped up on me over the last several months. Not fun. Also, my GI has indicated that foe some people pouches may leak over time, most likely at night as I never have an issue during waking hours. I hate the minor leaks but love the deeper and longer periods of sleep.

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.

Wooden mallet.
Hahaha.
I have the problem too.
Valium work well.