Wow, Dave, that sounds like pretty rough nights! I can tell you I often have very liquid output but can hold it. I tend to have leakage when stool is soft. And I was struggling with fair amount leakage some nights. I do daily take 8 loperamide and 4 lomotil that slows system. Definitely talk to Dr. but I have been experimenting with Metamucil which firms things up but also I feel increases the quantity of output. Also, trying generic pepto Bismal and I think that makes output more solid. Definitely try to avoid eating for hours before bed and look at foods you’re eating. Maybe could tweak your diet a little. I know night can be difficult because when you sleep those muscles relax too. My pelvic floor dr. suggested I buy fleet enemas, empty the contents, and use warm water enemas to empty pouch. It’s made huge difference for me!! Huge! I do use Vaseline to lube it, and am careful to avoid trauma. I typically do this if I’m going out for evening and before bed. Can now sometimes go 5 waking or 7 sleeping hours! She also suggested a narcotic drug, Amitriptiline (? sp.) it’s an antidepressant but she said it helps some with firming up things. I wish I didn’t have so many meds but feel I need all. Good luck!