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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small Child, Born With Hemorrhoids, Itching, Rectal Mucus While Trying To Pass Bowels. Treatment?

Hi, My name is XXXXX. My son, XXXXX, is 5 yrs old and was born with a hemorrhoid . It has never bothered him before but within the past month, it has been very big and itchy. His doctor told me to just put hydrocortisone on it. That hasn t worked. Now, he feels like he has to move his bowels but only mucus comes out. What could this be?
Tue, 26 Mar 2019
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General Surgeon,  's  Response
Hi,

Noted you short and specific history about your 5 year old child.
It is difficult to believe that our child was born with hemorrhoids, not really heard so.
This is most probably rectal prolapse found in particular with patients with less peri-anal fat pad.
I would advise you the following:
First of all, get a consultation and examination by a Pediatric Surgeon to be sure about the diagnosis.
Ultrasonography of abdomen, ano-proctoscopy helps further.
If there is rectal prolapse then your child needs the following:
Correction of diet so that the child has some amount of fat pads.
May need a small surgery called Thiersch stitch to avoid the prolapse.
Since you have mentioned about big and itchy mass this is most probably prolapse as discussed about.Applying Hydrocortisone may not help at all.
Also send stool for lab along with blood, get corrected if there is an positive findings.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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Small Child, Born With Hemorrhoids, Itching, Rectal Mucus While Trying To Pass Bowels. Treatment?

Hi, Noted you short and specific history about your 5 year old child. It is difficult to believe that our child was born with hemorrhoids, not really heard so. This is most probably rectal prolapse found in particular with patients with less peri-anal fat pad. I would advise you the following: First of all, get a consultation and examination by a Pediatric Surgeon to be sure about the diagnosis. Ultrasonography of abdomen, ano-proctoscopy helps further. If there is rectal prolapse then your child needs the following: Correction of diet so that the child has some amount of fat pads. May need a small surgery called Thiersch stitch to avoid the prolapse. Since you have mentioned about big and itchy mass this is most probably prolapse as discussed about.Applying Hydrocortisone may not help at all. Also send stool for lab along with blood, get corrected if there is an positive findings. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon