Could be a partial blockage, adhesions, an abscess, or even something random like a kidney infection. Blood when you urinate or defecate or randomly?

It is not necessarily a big deal (meaning it might not be anything super serious), but it sounds like you should get it checked out to make sure. Even tiny, minor infections can become large, serious problems if not treated properly.

Gin

One way you can usually figure out if there's any sort of infection is taking your temperature. Assuming you're not on Tylenol or NSAIDs, it's unusual to have a bacterial infection without a fever.

This could be two different things, or you could have a smoldering blockage that acted up for a little while. Stick to liquids when you're feeling blocked, and be careful not to get dehydrated. Do you have an appointment scheduled with your GI, to help you sort this out?

I'd had a kidney stone and UTI back in November. Once that passed it felt like the pain just moved to the right. The blood is coming bowel wise, not urinary. I haven't been fevered. Calling GI today. I'm almost to my 4 year mark w/the j-pouch. Thanks for your thoughts, I appreciate it.