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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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3 Year Old Having Pain In The Buttocks. Hard Stools, Had Stomach Flu. Could This Be Due To Parasites?

3 year old daughter complains of her butt hurting. No redness, no infections. It has been this way for months. She tends to keep hard stools , so we have incorporated more fiber . This helped but we all just got over a bad stomach flu 2 weeks ago and her stools have yet to change back to a normal color. She wants baths when it hurts and screams like crazy. It is apparent it hurts, then it goes away as fast as it comes on. This will happen periodically through the day. Someone mentioned parasites?? We do have a cat. Just don t know what to do, she only has a general practice doc due to all the pediatricians in the area not taking any new patients. What should we do??
Fri, 21 Dec 2012
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Pediatrician,  's  Response
Hi

She might be having an anal fissure. You can have it checked by a general practitioner too.

Usually fissure happens when constipation had been there for some time. When there is a fissure, the pain is so severe that kids start holding the stools to avoid the pain. This holding in turn causes hardening of stools and sets up a cycle.
Good that you have modified his diet. Continue with that.

You might also use medications like Lactulose for 2 to 3 weeks- that will help her pass stools at ease. The dose will be 1ml/ kg to start with, given each night. Depending on the response, the quantity and interval of dosing may be adjusted.
You may also give concentrated sugar solution daily with lot of water and fresh fruit juices.

If she has a fissure, local anesthetic gels will be needed for about 2 weeks.

Hope my answer helps you.
Best wishes.
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3 Year Old Having Pain In The Buttocks. Hard Stools, Had Stomach Flu. Could This Be Due To Parasites?

Hi She might be having an anal fissure. You can have it checked by a general practitioner too. Usually fissure happens when constipation had been there for some time. When there is a fissure, the pain is so severe that kids start holding the stools to avoid the pain. This holding in turn causes hardening of stools and sets up a cycle. Good that you have modified his diet. Continue with that. You might also use medications like Lactulose for 2 to 3 weeks- that will help her pass stools at ease. The dose will be 1ml/ kg to start with, given each night. Depending on the response, the quantity and interval of dosing may be adjusted. You may also give concentrated sugar solution daily with lot of water and fresh fruit juices. If she has a fissure, local anesthetic gels will be needed for about 2 weeks. Hope my answer helps you. Best wishes.