So, I had my GI visit. We agreed it's not pouchitis. She really had no good explanation for this issue. Her suggestion was to make lunch the big meal, eat dinner earlier and make it light. This is what I try to do anyway. She did give me medication to take before bed that hopefully would help me sleep through the nonsense. It only helps me fall back to sleep quickly after being up.
My suggestion for those of you who eat after you empty at night because you are now hungry (and I get it), really try hard not to...it could make some difference.