Patient's question:
The child is afraid to defecate and cries very hard during bowel movements. At six months, they have already started. About the previous treatment and its effectiveness: They have seen a local doctor twice. What kind of assistance is needed: I would like to ask the doctor to help me clarify...Doctor's answer:
Some children cry and fuss every time they have a bowel movement, leaving adults helpless. In such cases, adults should check the child themselves to rule out the possibility of anal fissure, as fissures can occur at any age.Explanation: The main symptoms are pain during and after defecation, as well as skin tearing during bowel movements. The amount of bleeding varies—some may only have a slight blood smear on the stool, while others may have a trickle of fresh blood during defecation, depending on the size of the fissure. If the anal skin is split open, a crack or shallow ulcer can be seen at the junction of the skin and mucosa around the anus. When stool passes through the anus, it stretches the anal opening, reopening the scarred wound and causing the skin to tear. At this point, the child cries out in pain. Over time, the child may avoid defecation due to fear of pain, eventually leading to constipation.