This topic is about managing night-time output for individuals with an ileostomy. The person sharing their experience notices that their ostomy pouch fills up significantly more during the night compared to the day, which requires them to empty it at least once during the night. Here are some insights and advice shared by others who have faced similar situations:

- It's common for some people with an ileostomy to have increased output at night, even if they stop eating early in the evening. Others might not experience this at all, showing that individual experiences can vary widely.

- The position you sleep in can affect output. Being horizontal and relaxed during sleep can stimulate flow and cause gas build-up, similar to what some people experience while showering.

- High-fiber foods, like pumpkin, can increase the volume of output.

- Consider eating smaller, more frequent meals and include binding foods like bananas or rice if you can tolerate them. Drink plenty of fluids during the day and reduce intake in the evening.

- Discuss with a healthcare provider about using medications like Imodium (loperamide) to slow down output. An ostomy or stoma nurse can help tailor the dosage to your needs.

- Explore different pouch options. High-volume or "drainable spout" bags can help extend the time between emptying. Some people prefer closed-end disposable pouches, which allow them to sleep longer by simply discarding and replacing them in the morning.

- There is a suggestion for developing an ileostomy night drainage system, similar to those used for urostomies, to help manage night-time output.

- Empty your pouch whenever you wake up during the night, even if it's just for a quick bathroom trip, to prevent overfilling and potential leaks.

- Ensure you have reliable barriers and seals, like rings or Dermarite skincare wands, to manage the higher volume of output at night.