i seem to have developed a new pouch problem in the last 6 months or so which i never had in all my 14 years of having my J pouch.
On week nights, as soon as i climb into bed within 5-10 mins i have gurgling gas that lasts pretty much all night resulting in numerous bathroom trips and very, very little sleep, it kind of astonishes me where and how much gas and even stool along with it continuously comes from.
It is like a switch, i have fanstastic pouch function during the day which has actually gradually improved over the years, so i go on average 4 times a day before i go to bed, but even right up to 30 mins before bed lets say - 11pm i will have zero wind, and can be watching tv and even eating a snack and be totally fine, as soon as my body changes to a horizontal position when i climb into bed is when chaos starts.
I don’t believe i have SIBO or Pouchitis due to the excellent daily / pre bed evening function, i take Align probiotic for my IPS nerve pains and it helps with that but i also think it has improved my daily function aswell.
I have searched on here previously and tried all the advice, such as not eating before bed, eating a small snack such a peanut butter before bed, taking immodium, psyllium husk, divestive enzymes etc etc all to no avail.
So i’m wondering if anyone can shed any light on what is causing the wind and what i could do about it?
One interesting thing i would like to point out is - i don’t get these symptoms at all on a weekend when i’m more relaxed and having a few glasses of wine before bed, in fact i can drink red wine and sleep 8 hours straight, so is it possible the alcohol is relaxing my whole system including the GI tract? (Don’t worry i’m not going to get into the habit of drinking every night.)
So, i’m wondering if this problem Is both caused by stress as i suppose i’m more on edge on a week night knowing i have to be up early for work the next day, and i know even mild stress can cause wind, and also the body being in a horizontal position maybe causing stool to wash back upstream if that makes sense?
The only thing that helps a bit is taking Pepto Bismol but i don’t want to have to keep taking that on a regular basis, but i need something that helps as i’m exhausted, i average 2 hours a sleep per night during the week, and it is now become a self fullfilling prophecy in that i now get nervous as it nears bed time.