Patient's question:
There are no major symptoms where it's very painful to have a bowel movement, where the stool won't come out, and then you have to push it in with your hands.Doctor's answer:
Okay, here is the translation, following your instructions:, I first need to question the medical attitude of the doctors at Provincial Hospital. From your description, I didn't see the doctor perform a sufficient exposure examination of the child's anus; if even basic visual examination and digital rectal examination were not done, then his diagnostic perspective should be questioned. I would like to ask, how big is the "tumor" you mentioned? Is it connected to the intestinal wall by a thin stalk, or is it only visible outside the anus, like a hemispherical fleshy mass? If it has a stalk, then it should be considered a neoplasm of the intestinal wall, requiring surgery and pathology. If it is hemispherical, although a neoplasm cannot be ruled out, it is more likely considered a prolapsed rectum, i.e., rectal prolapse. The likelihood of this being a congenital disease decreases after the child is 4 years old. It is relatively unlikely for a polyp or tumor of that size to develop at 4 years old. Moreover, the appearance of the "tumor" is related to increased abdominal pressure during defecation, so rectal prolapse should be considered first. It is recommended that the doctor examine the child when the "tumor" appears during defecation. If it is rectal prolapse, it is a self-limiting disease in children. As the child grows, the development of the sacral curve will gradually make the rectal prolapse disappear. It may resolve on its own before the age of 5-6. Therefore, correcting constipation and developing good bowel habits is recommended. Thus, non-surgical treatment should be the main approach. (Disclaimer: Online consultation, we are not liable for any consequences).