Deep fissure of the rectum in children

This disease, like a deep rectal fissure, is rare in children. And yet this is worth attention, since in the case of untimely or incorrect treatment, the disease can lead to irreparable consequences. Children are more sensitive and are more prone to complications than adults. And with dysfunction or pathology of the rectum to lead in the future a full life for them will be impossible.

Causes of the disease

Anal fissure in children occurs usually as a result of damage to the mucosa of the anal canal during constipation. Sometimes cracks are formed in the process of excreting by swallowed foreign bodies. Mechanical damages during falls are not excluded.

Symptoms of

Prolonged irritation of the nerve endings of the affected mucous anus causes severe pain and often spasms in the sphincter. Tonic spasms of these muscles, which occur after defecation, can last several hours. There is a vicious circle - the crack causes strong pain, which leads to a spasm of the internal sphincter, and this, in turn, does not allow a crack to heal. The clinical picture of deep rectal fissure in children includes three symptoms:

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  • severe pain during or immediately after defecation;
  • spasm of the sphincter;
  • bleeding during defecation

Intense pains force the child to seek a rare bowel movement. As a result, there is a delay in the stool, and this only contributes to the development of constipation. Sometimes, with a long-term deep crack in the rectum, there may not be pain at all.

Diagnosis of

In children, a rectal examination can be started with careful dilution of the buttocks and evaluation of the condition of the anus. It is usually when dilated walls of the affected anal canal and a crack is found. In some cases, you need to resort to finger research. In the same way, spasm of the sphincter is also revealed. In outpatient care, in order to avoid unnecessary trauma, it is better to postpone this procedure until the fracture is completely healed.

The chronic stage of the disease( which also occurs in children) entails the thickening of the edges of the crack itself, the stinging of the tissue, which does not pass through the pain at the end of defecation, the itching in the anus, the presence of the watchdog, the spasms and the leakage of blood. It is necessary to diagnose the disease as precisely as possible. That's why you should not postpone the trip with the child to the proctologist.

Treatment of rectal fissure

It is primarily aimed at relieving pain and spasm of the sphincter, as well as normalizing the stool and the subsequent healing of the crack itself. Treatment can be both outpatient and surgical. Treatment usually begins with a rational diet of acid-vegetable nature. A very good effect in the regulation of the intestine gives boiled beets, dressed with sour cream or vegetable oil.

With anal fissure in children, the use of enemas is mandatory. Under the influence of the enema, mild stools are softened, defecation is facilitated. The procedure has an anesthetic, disinfectant, astringent and hemostatic effect. For these purposes, it is better to use infusions of St. John's wort flowers, chamomile, yarrow, mint, nettle, sage. Enema is used for 14 days.

Medical treatment involves the use of special ointments. These are ointments( for example, methyluracil), including anesthetics, as well as postrisan, ultraproct, solcoseryl, and a reaph. Rectal suppositories with antispasmodics and anti-inflammatory drugs( anesthesol, anuzole) are also effective. Candles and ointments are used three times a day and after each bowel movement. This treatment lasts 4-5 weeks. Usually the described complex of all medical measures considerably reduces painful sensations during the first week. However, complete healing should be expected only after 1-2 months.