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Child has internal anal sphincter achalasia, abdomen ache, taking cap. should i be worried?

My 8 y.o. daughter has internal anal sphincter achalasia. For 3 days now she has had an ache in her right side abdomen and back, and occasionally on the left side. I had a nurse see her today, and she thinks she is constipated ... daughter takes 17 drops of Laxoberon laxitive every day. She says she had a bowel movement this morning, but I am not sure the size ... how worried should I be?
Asked On : Sun, 3 Mar 2013
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Pediatrician, Surgery 's  Response
Thank you for posting your query on Health Care Magic
Internal anal achalasia is a surgical disorder. The treatment options include dilatation under anesthesia or sphincterotomy. It is not a common diagnosis kept by surgeons also and therefore you need to be sure before reaching this diagnosis. More commonly it is referred as a short segment Hirschsprungs disease. Making it simple you should show your child to a pediatric surgeon for proper diagnosis and treatment. Tests include a barium enema (a radio-opaque dye is put through anus and films are taken), anal manometry (measuring the pressure in the anus) and if required, a small biopsy. All this is essential before labelling any achalasia. And if it is so then its treatment is surgical. The constipation which responds to laxatives only is usually diet related. You should give a lot of fluids and fibres to your child (green leafy vegetables, carrots, papaya, other fruits). Hope this solves your query
God bless you
Answered: Mon, 11 Mar 2013
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