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My Daughter Is In A Wheelchair And Bed 24 Hours

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Posted on Sun, 29 Mar 2020
Question: My daughter is in a wheelchair and bed 24 hours a day -I notice small crack in the skin (about 1/3 inch) in length about midway between anus and top of buttocks. Was advised to use Butt Paste 2 days ago. I'm not sure thisis the right method to heal this area. What do you advise?
doctor
Answered by Dr. Ramesh Kumar (6 hours later)
Brief Answer:
General and proctoscopic examination should be done.

Detailed Answer:
Hello and thank you for choosing "Ask a Doctor" service for your query,
Have seen your details,
Very likely it can be anal fissure.
As patient is non ambulatory chances of it being a fissure are very high.An anal fissure is a tear in the lining of the lower rectum (anal canal).An anal fissure most often occurs when passing large or hard stools.Non ambulatory patients usually suffers from problems like constipation etc and hence are candidates for this problem.
However initially a Surgeon/MD should examine the child for fissure via proctoscopy (proctoscope is a hollow, tube-like speculum that is used for visual inspection of the rectum.)
So my initial suggestion is consult a MD/SURGEON and follow up after that.
Proctoscopic examination can be done by any Doctor.
So get it done ASAP.
Follow up after that,
Thank you and Regards!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (15 hours later)
She does suffer from constipation but the split is at least 1/2 - 2/3" in the skin above the anus. Would the treatment you describe be appropriate with the problem above tha anal opening?
doctor
Answered by Dr. Ramesh Kumar (6 minutes later)
Brief Answer:
Follow up.

Detailed Answer:
Hi there,
As said earlier dear I can just guess what it can be however before coming to the treatment part let's first get her checked up by a doctor in person.
Thank you.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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My Daughter Is In A Wheelchair And Bed 24 Hours

Brief Answer: General and proctoscopic examination should be done. Detailed Answer: Hello and thank you for choosing "Ask a Doctor" service for your query, Have seen your details, Very likely it can be anal fissure. As patient is non ambulatory chances of it being a fissure are very high.An anal fissure is a tear in the lining of the lower rectum (anal canal).An anal fissure most often occurs when passing large or hard stools.Non ambulatory patients usually suffers from problems like constipation etc and hence are candidates for this problem. However initially a Surgeon/MD should examine the child for fissure via proctoscopy (proctoscope is a hollow, tube-like speculum that is used for visual inspection of the rectum.) So my initial suggestion is consult a MD/SURGEON and follow up after that. Proctoscopic examination can be done by any Doctor. So get it done ASAP. Follow up after that, Thank you and Regards!