If you are 6-weeks post-pred and seeing blood then you cannot safely rule-out an UC flare (8 or more weeks post-pred to truly be safe). Yes, bleeding can happen from limited-extent inflammation (rectum-only as an example). I would ask your gasteroenteroligist for a stool test for inflammation to see if it is a flare (a calprotectin test).
It is possible to develop hemorrhoids at any time for us. As we sit on the toilet frequently, often for extended periods of time straining to poop. I had my first hemi about a year ago, it was an external-hemi that hurt but went away on it's own about a week after appearing. Often there is no treatment needed, you just see blood on tp and/or while pooping. External hemis that are painful can be removed by a colorectal surgeon (cut off, or banded).
It can be a challenge, is it a UC flare or a hemi. Just get a check for inflammation which should answer it. You can have a general practitioner doctor do a white finger and a glove check for hemis, as they are always shallow within an inch or two of the sphincter and hurt to the touch. You can also squat over a mirror to make sure there is nothing weird going on down there. Fissures (small paper cut like tears on or inside the sphincter) can bleed, as can abscesses (look like pimples within an inch outside of the sphincter) and other similar peri-anal complications can sometimes occur with us.
Thanks for your reply, it has been really Informative.
It’s my rectum that’s been giving me problems for the last 6 months as I’ve been managing to keep off loose BMs with the steroid enemas, but as soon as I stopped them they have returned. This is the first time I’ve managed to get this long off steroids, so it’s quite possible this area is being stubborn and still causing me problems.
This fissure could also be a possibility, I thought that was more chrones related so didn’t think if that. I do have a painful area inside my bottom but put that down to irritation caused by the melasalazine suppositories I’ve been insterting, this does give me some hope.