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Kid having rectal bleeding, hurts, small stringy, clots. Colonoscopy normal. On high fiber diet. Advises?

My 3 year old son has rectal bleeding it comes and goes. He has had an colonoscopy which showed no concerns but recently the bleeding has started again he doesn't appear to be constipated but it does hurt a little. It's been every day for about 2 weeks this time getting eirse everyy and last couple days there have been small stringy clots. I am keeping a diary and have made another appointment with his doctor but the soonest was 4 weeks away. I have been feeding him a high fibre diet since its started happening again but I feel that maybe this is not helping. He doesn't appear to have hemoroids or anything visable and I am wandering weather to try the gaps diet? Me and my son find it rather alarming when every time he has a poo he is dripping with blood. Any advise would be great as the docs have given me none so far. Many thanks.
Asked On : Sat, 27 Apr 2013
Answers:  3 Views:  44
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Pediatrician 's  Response

Thank you for your query.

Treatment would depend on the diagnosis. However colonoscopy has ruled out any cause for concern. I suggest that you discuss with the treating doctor and get a proctoscopy done to exclude internal haemorrhoids which can be the cause for bleeding.

I would not recommend any special diet like gaps for a 3 year old child unless the treating doctor recommends.

I hope I have answered your query to your satisfaction.

Wishing your son an early recovery.


Rajiv K Khandelwal
Answered: Sat, 27 Apr 2013
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Pediatrician Dr. Y V Siva Sankara Murty's  Response

Thanks for writing to health care magic.

It is surprising that you got a colonoscopy done and still there is no diagnosis.

Normally rectal bleeding is because of rectal polyps, fissures etc.

Is it fresh blood there?
Is he anemic now? (that should also be corrected)
Does he have constipation now?
Correction of constipation is important in conditions like fissures etc.

Hope this helps.
Take care.
Answered: Sat, 27 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

If there is no obvious external lesion / and there is nothing in endoscopy - one has to think of other less common causes...Bleeding diathesis / congenital anomaly of mesenteric blood vessel and so on..
Haematologist should see the child / may be a vascular surgeon also?
Diet may not help
Check his haemoglobin frequently...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 27 Apr 2013
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