Eating late is usually not ideal for a pouch in my opinion though some swear by something fatty before bed. He could very well be suffering from pouchitis as well.
A lot of jpouchers can suffer from chronic pouchitis. Dr Shen, one of the leaders in the field has seen low vitamin d and excess carbs leading to bacteria overgrowth.
If he's willing he could try to perhaps eat earlier, get enough vitamin d and try a more paleo approach, even just cutting out dairy and gluten can have a big impact on some, though he may still need a round of antibiotics as well to fully treat the pouchitis
Is he on a dose of immodium or lomotil? Before bed I take 2 pills and seem to sleep through most nights, unless I eat too late!
Post Edited (Virdent) : 6/27/2015 5:27:29 PM (GMT-6)