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Chronic nighttime incontinence

Evening all. First time posting. I have Crohn's disease and I'm 27. I had an initial surgery for UC back in 2007 when I got my j pouch only to discover later that I have crohns. I've been reopened once for a blockage caused by scar tissue and hospitalized a second time for a blockage but managed to avoid being cut open again. My constant problem seems to always be incontinence at night. It seems to come and go with severity and was somewhat managed up until a few months ago. Now it happens every night. Sometimes it's a little leak but usually it's almost half a bowl movement. I've tried fiber tablets, fiber powder, immodium, kegels, and some kind of orange powder that I can't recall the name of. Nothing seems to work. I'm miserable and ashamed and don't know what to do. I am afraid to go to sleep or, heaven forbid, doze off on the couch with my new girlfriend. During the day I have no problem holding my bowel movements. I'm not currently on any medication besides Prilosec for acid reflux/heartburn problems because my insurance from work is poor and I can't afford really much of anything. I will find a way to see a doctor but with my lack of success in the past with this issue it feels hopeless and a waste of money. I read some stuff on pouchitis and part of me feels like that's the case but aside from some recent weight loss and random frequency problems I don't have issues. Please help! 

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