What are the symptoms of anal prolapse in babies

Rectal prolapse is a relatively common anorectal disease. Babies may also suffer from this disease. It mainly refers to anorectal prolapse. When this phenomenon occurs, it will cause anal bleeding, especially when the stool is dry, the bleeding phenomenon is more obvious. In addition, because the anal sphincter is relatively relaxed, it often causes mucus in the anus to leak out, which can easily lead to eczema.

Five major symptoms

1. Prolapse: This is the main symptom of anorectal prolapse. In the initial stage, the rectal mucosa prolapses during defecation and returns to its original position by itself after defecation. As the disease progresses, the body's resistance gradually weakens. If it is not treated for a long time, the full thickness of the rectum or part of the sigmoid colon may protrude, and it may even prolapse when coughing, carrying weight, walking, or squatting. It is not easy to return to its original position and needs to be pushed back by hand or rest in bed before it can be returned to its original position. [1]

2. Bleeding: Generally there are no bleeding symptoms. Occasionally, when the stool is dry, there will be drops of blood when the mucous membrane is abraded, there will be blood in the stool or there will be blood when wiping with toilet paper, but the amount of bleeding is small.

3. Moisture: Some patients have loose anal sphincter and weak contraction, so mucus often overflows from the anus, resulting in a moist feeling. Or because it is prolapsed and not repositioned in time, the rectal mucosa becomes congested, edematous or eroded, and the mucus irritates the skin around the anus and causes itching.

4. Heaviness and distension: Due to submucosal prolapse, the rectum or colon intussusception occurs, which compresses the anus and causes heaviness and distension. Some people also feel heaviness and distension in the thigh and lumbar sacral area.

5. Incarceration: When defecating, the anorectal prolapse is not restored in time. If it lasts for a long time, local venous return will be blocked, resulting in inflammation and swelling, and causing incarceration. At this time, the mucosa gradually changes from red to dark red, and even superficial mucosal erosion and necrosis may occur, or the prolapsed intestinal segment may be strangulated and necrotized due to contraction of the anal sphincter. The patient's symptoms also progress from local reactions to the whole body, with fever, loss of appetite, urinary problems, constipation, increased pain and distension, restlessness, and even intestinal obstruction.

Treatment

1. Children with rectal prolapse should first change their bad living habits. For children with rectal prolapse that recurs but can retract automatically, the body position during defecation should be changed to avoid squatting to defecate. Let the child with rectal prolapse sit on a high-legged spittoon or put the spittoon on a bench to defecate. If you can persist in this way for 1 to 2 months, you can cure rectal prolapse. What should I do if my child has rectal prolapse?

2. For children with severe rectal prolapse, you can choose surgery to treat the child's rectal prolapse. For children with severe rectal prolapse who cannot automatically retract after defecation, parents can press the prolapsed part back with the right thumb, then fold gauze to press the anus, and then fix it on the buttocks with tape. After 1-2 months of bed rest, most children can recover. This is a common method to solve the problem of children's rectal prolapse.

3. If rectal prolapse is associated with constipation, diarrhea and severe coughing, these diseases should be cured first.

4. Change the position of defecation: Change the position of defecation, that is, avoid squatting defecation. Parents can hold the child while defecation, or let the child sit on a high-legged spittoon or place the spittoon on a bench while defecation.

5. Manual repositioning and compression method: For children with severe rectal prolapse who cannot retract their rectum after defecation, parents can use their thumbs to gently press the prolapsed rectum and then retract it with a little force. After repositioning, use gauze to compress the anus and use adhesive tape to tighten the buttocks horizontally. Most children can recover.