What Are The Symptoms Of Rectal Bleeding In Children? Rectal Bleeding in Children, How is rectal bleeding in children treated? Some curious information about it.
What Are The Symptoms Of Rectal Bleeding In Children? Rectal Bleeding in Children
Rectal bleeding is a common condition in children. It can be scary for families. However, most of the time, cracks in the anus called anal fissures caused by constipation cause bleeding and are not a serious condition. To stop bleeding and treat anal fissure, constipation must be treated first. In the content of our article, you, our valued friends, can find detailed answers to questions about how is rectal bleeding in children treated? and causes of rectal bleeding in children. So What are the symptoms of rectal bleeding in children?
Finding blood in the stool can also be a symptom of some diseases. The source should be investigated by the physician and the necessary treatment should be applied. Hardened poop due to constipation causes superficial cracks called anal fissures around the anus due to strain. This situation is seen mostly in the playful childhood period when junk food is started to be eaten. While trying to defecate due to anal fissure, the painful child begins to hold in the defecation. As you wait, the poop becomes harder and causes more cracks, thus entering the child into a vicious cycle. Although there are various methods to prevent and prevent this, it is necessary to fundamentally change the child’s nutrition and lifestyle.
Hemorrhoids that occur due to constipation and strain can also cause bleeding when they become severe. Although less common, polyps, intestinal obstruction, Meckel’s diverticulum, Crohn’s disease and ulcerative colitis, intestinal infection and parasites can cause diarrhea and bleeding. Some foods and medications can also cause stools to appear bloody. You can find more detailed information about the symptoms of rectal bleeding in children by continuing our article.
How To Treat Rectal Bleeding In Children
Symptoms Of Rectal Bleeding In Children
It is not always possible to know the source or type of rectal bleeding based on the appearance of the stool alone. While rectal bleeding may be caused by constipation or may sometimes be caused by various disorders in the intestine, it is necessary to consult a physician and have the necessary tests done. Seeing blood in the stool may indicate bleeding in the upper digestive tract or lower digestive tract. Bleeding in the stomach and small intestine usually causes black, very dark stools. In many cases, the child also vomits red or black that looks like coffee grounds. In case of bleeding in the lower digestive tract, bright red blood is usually seen in the stool.
Anal fissure ranks first among the causes of bleeding during defecation in childhood. Although it is seen at all ages, it is more common during the transition from infancy to childhood. During this period, when the baby starts to eat solid foods, the child’s stool begins to become increasingly solid. This period, which is problem-free for most, occurs in some cases in the form of more solid and larger volume stools. As a result, a tear occurs on the edge of the anus. This extremely painful injury results in further delay in defecation. Solider and more voluminous stool enters a vicious circle that gradually leads to deeper fissures.
A polyp is a type of tumor attached to a place in the intestine, either from a stalk end or without a stalk. It is one of the most common causes of bleeding in childhood. It is seen between the ages of 5 and 15. Its dimensions can be from 2 to 20 mm. Although there is a single polyp in half of the cases, their number can reach up to 10. Polyps are usually attached to the intestinal wall by a stalk. It bleeds easily from its surface due to fecal friction. It is known that 70% is located in the hindgut and 15% is located in the lower intestine. Although almost all of them are benign tumors, pathological examination is necessary. The first symptom is blood in the stool. It can be seen as streaks on the stool or as a few drops immediately after the stool. In 10% of cases, the first symptom is polyp prolapse from the anus during defecation. Cramp-like abdominal pain and mild diarrhea may also be among the complaints. It causes more bleeding after spontaneous rupture.
Causes of Rectal Bleeding in Children
Intestinal obstruction, which is most common in babies between 4 and 12 months old, is seen at all ages. It is accompanied by abundant strawberry jelly-like bleeding and occasional abdominal pain in the form of cramps. The child does not poop, or when he does, it is bright red and viscous with blood. It can also be seen after constipation or frequent diarrhea. Despite the pain, the child initially remains calm. However, if it is not noticed early, first vomiting and abdominal distension, and gradually fever and fatigue are added to the picture. The patient is extremely weak due to dehydration. It can be described as the intestines entering each other like glove fingers or binoculars. The reason is generally not clear. In older children, this may lead to small intestinal tumors, masses and some congenital structures.
Meckel’s diverticulum is the protrusion of all or part of the intestinal wall towards the end of the small intestine. It is usually seen in children before the age of 2. Its incidence is 2%. Many adults with Meckel’s diverticulum have no symptoms. It is only noticed during surgery or during tests for another condition. In this case, Meckel’s diverticulum usually does not need to be treated.
Meckel Diverticula Symptoms
– Inflammatory swelling of the intestinal wall,
– Obstruction in the intestines,
– Tenderness around the belly button,
– Nausea and vomiting,
– The child’s color is pale due to excessive bleeding,
– Bleeding that starts suddenly, is painless, profuse and stops spontaneously,
– Blood in the stool,
– Mild or severe pain in the abdomen.
Symptoms Of Intestinal Obstruction
– Weakness,
– Bright red or slimy bloody stools,
– Inability to go to the toilet,
– Abdominal pain that occurs from time to time, similar to cramps,
– Bleeding with the consistency of strawberry jelly.
Rectal Polyp Symptoms
– Mild diarrhea,
– Cramp-like abdominal pain,
– Mild diarrhea,
– Polyp prolapse from the anus during defecation,
– Blood in the stool.
Anal Fissure Symptoms
– Skin fold at the tip of the fissure,
– Stool becomes more solid and voluminous due to constipation, blood appears,
– Pain during toilet in older children,
– Blood in the form of streaks on the stool,
– Line-shaped tear in the anus, usually on the back wall,
– Light red blood in the form of small spots on the diaper or underwear.
Anal fissure treatment begins with the elimination of existing constipation. Constipation can be eliminated in the long term by softening the consistency of the stool and increasing the frequency of going to the toilet. During the same period, healing of the fissure can be achieved with warm sitz baths and pain-relieving creams. Starting to have painless and soft stools is the most important step in the treatment. However, it should not be forgotten that it can easily recur, and the family should be warned about toilet and eating habits. In chronic cases, surgery may be required. Surgery is rarely an option in children.
Treatment Of Intestinal Obstruction
In the treatment of intestinal obstruction, the general condition of the patient should be improved and fluid and electrolyte losses should be replaced. Treatment consists of three stages. It starts with the first stage, and if the patient cannot be treated at this stage, the second stage is applied, and if it is not sufficient, the third stage is applied. In the first stage, non-surgical, non-operative treatment; It includes procedures to relieve the intertwined intestine from this situation. First of all, liquid or air is administered anally, and the inner intestine is tried to be removed with the pressure provided, under the guidance of various imaging methods. The most common method is to administer serum through the anus while being monitored by ultrasonography. 85% to 90% of patients presenting in the early stages can be treated with this method. If treatment cannot be achieved and the patient’s condition is suitable, it can be tried again. If success is not achieved with this method, the patient is operated on.
Is There A Treatment For Rectal Bleeding In Children?
Second stage surgery is performed directly if non-surgical treatment fails or if a long time has passed since the onset of symptoms. In surgery, the intestines are corrected manually. In the third stage of the surgery, if the manual correction attempt fails, the affected intestine section is removed and the intestines are re-sewn end to end. This situation occurs more frequently in patients with delayed onset.
Meckel’s Diverticula Treatment
Once the diagnosis of Meckel’s diverticulum is confirmed, the treatment method is surgery. The diverticulum and the surrounding small intestine are removed and the ends of the remaining intestines are stitched together. Your physician will recommend the best approach based on your child’s symptoms, age, and overall health.
Rectal Polyp Treatment
In the treatment of rectal polyp, the diagnosis is mostly made by examination. In suspicious cases, medicated colon film or endoscopic examination is performed. The treatment is surgical removal. Anal intervention is performed under general anesthesia. It is performed as a day surgery.
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