Hi RICKM,
I am also new to pouch, had mine completed just short of turning 62, so close in age. I also have leakage, especially at night time. My surgeon has prescribed Peptobismol at dinner and 2 Immodium at bedtime. I had my takedown in early August, and started doing this the beginning of October. If this doesn't help, he will start me on Lomotil again. Also no eating after around 7:00. So far, It has helped, but has not gotten rid of it. I am also doing Kegels as often as I remember to. He suggested that this leakage could last up to a year. It has gotten easier to get rid of gas, pretty much with each BM. I have found laying on my left side helps, although I can also pass it just laying on my back, just careful about it. Like I said, I too am new to this, so I am sure there are others who have had different experiences with their pouches. I have been lucky in that I only have about 3-5 trips to the bathroom a day. It has helped to try to hold it a little longer between trips to the bathroom. Good luck!