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yerbrownblog ยท 9 months ago
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What is the most common cause of GI bleeding in pediatrics?
It's natural for parents to worry when their child has gastrointestinal (GI) bleeding. Whether they see blood in their child's poop or vomit, it's important to figure out what's going on so they can treat it properly. There are many things that could cause GI bleeding in kids, but anal fractures are the most common one.
How to Understand GI Bleeding in Kids
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GI bleeding in kids can show up in a number of ways, such as blood in the stool, dark or black stools (which mean bleeding in the upper GI tract), or blood in the vomit. The bleeding is coming from different parts of the GI system, from the mouth to the anus. Some of the most common reasons for GI bleeding are anal fissures, GI infections, inflammatory bowel disease, and even injuries.
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Most of the time, anal fissures are to blame.
Anal fractures are the most common reason for GI bleeding in kids younger than 5 years old. An anal fissure is a small tear or cut in the walls of the anus that can be very painful and cause a lot of bleeding. This disease is very common in babies and toddlers, who may have trouble going to the bathroom or pass hard stools.
Why do anal fissures happen?
Most of the time, anal cracks are caused by passing big, hard stools that stretch the anal canal. These painful cracks can form when a child strains during bowel movements because they are constipated. Anal fissures generally cause bright red bleeding that can be seen on the toilet paper or the surface of the stool.
Signs and Diagnosis
When kids have anal cracks, they often feel pain during and after going to the bathroom. They might cry or show signs of pain when they have to go to the bathroom. In addition to seeing blood, parents may notice that their child avoids going to the bathroom because it hurts, which can cause constipation and make the cracks worse.
To find out if a child has an anal fissure, a pediatrician will do a full physical check and may look at the child's medical history. There are times when more tests may be needed to rule out other reasons for GI bleeding.
How to Manage and Treat
The good news is that most anal fractures can be fixed with a few common steps. These are some common plans:
Changes to your diet: Eating more fiber can help soften stools and make going to the bathroom easier. Fruits, veggies, and whole grains are all good for you.
Making sure your child drinks lots of water can help keep them from getting constipated.
Topical treatments: Creams and ointments that you can buy over the counter may help by soothing the area.
Warm Sitz Baths: Taking warm baths regularly can help ease pain and speed up the mending process.
Medical Evaluation: If the symptoms don't go away or the split doesn't get better, you may need to see a pediatric gastroenterologist for more testing and treatment.
It can be scary to see blood in your child's stool, but it's important to remember that anal cracks are the most common cause of GI bleeding in kids and can usually be fixed with the right care. Paying quick attention to treatment and eating habits can help ease symptoms and stop them from happening again. If you're worried about GI bleeding or need help taking care of your child's health, don't be afraid to talk to a professional.
As a pediatric gastroenterologist, I'm here to help you and your family get through these tough times and make sure your child's gut health is on the right track.
Please set up a consultation if you need help or are worried about GI bleeding or any other digestive health problems.
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