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Child has pain in buttocks, relief after passing stools

My five year old granddaughter woke suddenly from an afternoon nap complaining about a severe pain in her butt and that she had to go poop. She is very smart and can articulate very well. She said the pain was not in her vagina but in her butt. She did not cry hard while pooping and seemed relieved when the feces came out. However when She stood up she complained about the pain again. While very upset about the bad pain, she had to poop again and like before seemed relieved during defecation but in severe pain before and after. As best we could see, she did not have any unusual redness or signs of hemmoroids. She accepted a warm bath and was back to pain within 5 minutes in the bath. she eats lots of fruits and veggies and beans. Some meat, chicken and turkey, fish. Only drinks water and milk. Had some constipation issues, large stools around age two but takes vitamins and fiber every day. Her mother says she had another episode before bed.
Asked On : Tue, 9 Oct 2012
Answers:  1 Views:  131
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Pediatrician, Surgery 's  Response
the way you describing the symptoms, it seems like she is having "irritable bowel syndrome (IBS)". but need further hsitory and some work up. is she still constipated? what is the stool consistency..hard/lumpy or loose. did you noticed blood in stool. some times a simple anal fissure can give symptoms like this. but as you have checked yourself that there is no redness or anything in the anal verge, this should be ruled out.

I am thinking of IBS because of the typical symptom of relief of pain with passage of stool. she needs to be investigated. However, i will advise some dietary changes to her..
1. eat small but frequent feeds (avoid large meal)
2. avoid food with high fat content, milk and milk products, caffeine and drinks with caffeine and artificial sugar
3. avoid food which causes gas like bean, cabbage
4. avoid meat, can take fish
5. give green leafy vegitables high in fibre
6. can add fibre suppliment
7. if constipation, can give laxatives

take an appointment with your local pediatrician for examination, more advise/ drug treatment
Answered: Wed, 10 Oct 2012
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