Initially, the crack can only be superficial, and the size of her little - a few millimeters in length. However, further, especially in children, who are prone to constipation crack size becomes larger and deeper and longer in length it can reach one and a half centimeters. With increasing crack size pain in the anus become stronger, there are reflex contraction of the sphincter, which not only increase the pain, but also impede the healing of fractures.
The newly formed crack slit-like in shape with smooth edges and red bottom. It is worth noting, that its bottom acts muscle sphincter. If you do not conduct timely treatment, the shape of the crack becomes oval, and the edges and the bottom covered with fibrinous raid. Acute crack becomes chronic.
The cause of the crack development, usually, a trauma by foreign bodies, that were previously swallowed, and came out with the stool during bowel movements. But do not rule out mechanical damage, arising during the fall.
Symptoms manifestation fissures of the rectum in a child
Irritation of the nerve endings of the mucous anal, in which crack was formed, It entails a sharp pain and spasm of the sphincter, but it only adds to the pain. muscle spasms, nastupayuschye, usually, after intestinal bowel movements, are long-term in nature.
Prolonged irritation of the nerve endings of the affected mucosa of the anus causes a sharp pain and cramps often sphincter. With deep fissures of the rectum in a child are three symptom:
- strong pain, which appear during defecation process or directly after it;
- spasm of the sphincter;
- blood on the stool.
Because of the pain the child is committed to a rare act of defecation, which leads to the delay of the chair and hardening of feces. It is worth noting, that the long-term course of the disease pain may not occur, however, this does not mean, that the problem does not exist.
Diagnostics cracks rectum in children
In children, rectal examination should be carried out with caution, so as not to cause a child has more pain. For the evaluation of the rear opening state doctor gently spreads the buttocks. Usually, upon dilution of the walls of the affected anal fissure and detected. In rare cases, a digital research. Reveal spasm of the sphincter in the same manner. Provided outpatient this study should be postponed until fracture healing.
Treatment of fractures of the rectum in a child
The disease in children should be treated extremely conservative method. The first step is to remove the pain and spasm of the sphincter, And in the future to normalize the chair and start healing itself crack.
The child has, which is prone to constipation in the early process of defecation goes dense cork, formed stool. Here she is with each act of defecation is increasingly straining crack. That is why the removal of this factor plays an important role. Baby doctor prescribes a diet, which is aimed at softening of stools, enema and enter the mineral oil inside three times a day for one dessert spoon.
The approximate scheme of treatment of the child
- Daily enema, volume 300-400 milliliters, during 5-7 days.
- After defecation made sitz bath for 10-15 minutes. The crotch region dried.
- After the bath introduced special candles or ointment.
Leave a Reply