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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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2 Year Old, Anal Fissure From Constipation, Sore And Red Bum. On Lactulose. Treatment?

Hi my 2 year old boy has an anal fissure from constipation and is very stressed, he has been prescribed Daktacort cream and Instillagel to numb the area but its not helping. He is pushing small poo's out all day but they are soft, everytime he eats something he is pushing. His bum is very sore and red. He is also on Lactulose. This has been going on for a couple of months now and we are very stressed parents.
Mon, 23 Sep 2013
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Pediatrician,  's  Response
Hi
Thanks for writing to us.
I understand your concern.
Constipation is very common in children and is mostly related to diet.But hypothyroidism also needs to be ruled out.
I suggest you to give him plenty of fluids and diet rich in fibre which includes fruits/green leafy vegetables/cereals

Give him honey with warm water first thing in morning.

give him sitz bath that is make him to sit in warm water for 10 to 15 minutes. 2 to 3 times a day.

Continue with lactulose.

Be in regular follow up with your doctor.

Wishing your child good health.

God bless..
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 1 user finds this helpful
Pediatrician,  Dr. E Venkata Ramana's  Response
Hi,
Thank you for your query on Healthcare Magic.
The cause for the formation of fissure is constipation.
If you manage this problem of passing hard stools, the fissure will heal.
Most of fissures will heal in 10-14 days of conservative medical treatment.
If it is not healing with this medical treatment I suggest you to consult a pediatric surgeon for examination and further advise.
Hope I have answered your query.
Regards.
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2 Year Old, Anal Fissure From Constipation, Sore And Red Bum. On Lactulose. Treatment?

Hi Thanks for writing to us. I understand your concern. Constipation is very common in children and is mostly related to diet.But hypothyroidism also needs to be ruled out. I suggest you to give him plenty of fluids and diet rich in fibre which includes fruits/green leafy vegetables/cereals Give him honey with warm water first thing in morning. give him sitz bath that is make him to sit in warm water for 10 to 15 minutes. 2 to 3 times a day. Continue with lactulose. Be in regular follow up with your doctor. Wishing your child good health. God bless..