Hi Scott, thanks for the reply
The anemia was found last year from a blood test due to stomach pains that have since been diagnosed as IPS, as all other avenues had been dismissed due to pouchoscopy which came back clear, CT scan clear, and there visually being no blood present in any BM. Started on Amitriptyline in October 2016 and has since worked well for the stomach pains.
So essentially the blood is a new thing (it may have been bleeding a year ago but it wasn't seen by me or the surgeon).
I guess I do strain at times but no more than in the last 11 years, I can't really find a pattern with it other than it's more likely to bleed in the morning when the pouch is emptyish, but again it's not always in the morning.
I'm a hypochondriac and have generalised anxiety which I think brought on the IPS symptoms, so I'm obviously worried about this bleeding, but given the fact I feel fine and have zero urgency or other noticeable symptoms, and the fact that the next BM that day usually has no blood - I'm wondering if it is something on the less serious side?
Is there any part of the pouch anatomy that can get irritated easily but not inflamed or infected?
Regards