I agree that if it were pouchitis it will present itself 24/7 and not just at night. Considering you haven’t changed routines it sounds like a good idea to check this out with a urologist. Certainly is an easier appointment to snag than with k pouch doc. I’m interested in your resolution – – for selfish reasons – – as it very occasionally happens with me. I assume my problem is eating too late and too much in the evening. Good luck. Janet