This topic is about dealing with night-time leaks from an ileostomy, particularly around 3 AM, and finding practical solutions before undergoing reversal surgery. Here are some helpful tips and insights to manage this situation:

1. Sleeping Position
- Try not to lie completely flat. Use several pillows to prop yourself up so your torso is reclined.
- It might be even better to sleep on the side opposite your stoma. Occasionally turning can help keep the output flowing downward into the pouch instead of pooling around the wafer.

2. Avoid Output Pooling
- The output from an ileostomy is often watery and can be harsh on the skin. If it sits against the flange or wafers, it can quickly seep under and cause leaks or blow-outs, especially overnight. Maintaining even a slight incline or side-lying position can help reduce this risk.

3. Added Appliance Security
- Consider wearing an ostomy belt while sleeping to keep the barrier secure.
- Some products that can help reinforce the seal include:
- Coloplast Brava Tape Extenders (use two for added security)
- Sorbaderm Barrier Spray before applying the wafer
- If your current equipment is still not working, you might want to try a high-capacity pouch like the Dansac Easi-Fold Nova 815-15 “Extra Big,” which is designed for heavy output.

4. General Encouragement
- It's common for some people with an ileostomy to experience a spike in output around 2–3 AM. Improving your sleeping position and barrier support can usually help restore your sleep and confidence.