Sounds pretty normal IBS.As long as the blood is bright red on on the surface of stools.If it is brownish (old blood) and more mixed in that tends to be something else.If the hemaroids/irritation is causing you to bleed enough to be anemic they may need more treatment.You might want to get a blood test for celiac because of the anemia just to be sure (and it can take 6 months of high doses of iron...to reverse the anemia. I was on 3 prescription iron a day for a while)With IBS you should be absorbing normally, but anemia is big with Celiac...which is why I suggested that. (Celiac is gluten sensitivity...gluten is in wheat, rye and barley)PS...the undigested matter in stool is normal, just more obvious when you have diarrhea. It is a function of how well you chew, and esp if the lettuc and spinach is raw it needs a good deal of chewing so it is broken up enough to digest.The stomach bloating when you eat sometimes a digestive enzyme supplement with pancreatic enzymes helps (that is more functional dyspepsia than IBS).Inexplicable weight loss, or the pain starts waking you up at night, or you get a lot of brownish blood would be things to watch out for.Some things to try.Keep a log of what you eat to see if anything pans out (and you might try avoiding the common IBS diarrhea triggers of greasy/fried/fatty foods, alcohol caffiene, sorbitol(or other -ols). Also you might try avoidig some of the things that are only a problem if you have a specific enzyme/transport moleucule missing Lactose (or take lactase with your dairy) and fructose (mostly high fructose corn syrup).Calcium supplements can firm up stools.See if different levels of fiber help/hurt.Check out www.ibsaudioprogram.com. If you are interesed in that sort of heal thyself kinda thing (it's not in your head, but your brain can influence things).Good luck.K.