September 19, 2016


-Blood-colored material mixed in with the stool, on the surface or passed separately
    -Blood in the stools is usually bright red
    -Blood from bleeding in the stomach comes out tar-black


    Anal Fissure: If no associated diarrhea, more than 90% of children with blood in the stools have an anal fissure. Anal fissures usually are caused by passage of a large or hard stool.
    -A Strep skin infection around the anus can also cause blood-streaked stools.
    -If associated diarrhea, most of the children have Shigella, Salmonella or Campylobacter infections.
    -Some foods (e.g., tomatoes or beets) and drinks (e.g., red Kool-Aid) and some medicines (e.g., amoxicillin or omnicef) can also cause red-colored stools that look like blood.

When to Call Your Doctor for Blood in the Stools


  -Your child has fainted or is too weak to stand.
  -Your child looks or acts very sick.
   -Large amount of blood, blood alone without any stool or the toilet water turned red
    -Tarry or black-colored stool (not dark green)
    -Blood with diarrhea
    -Pink- or tea-colored urine
    -Vomited blood
    -Abdominal pain or crying also present
    -Skin bruises not caused by an injury
    -Age under 12 weeks
    -Small bleeding occurs over 2 times
    -Followed an injury to anus or rectum
    -Blood in the stools, but none of the symptoms described above (Reason: probable anal fissure)
    NOTE: Try to save a sample of the "blood" for testing if your child needs to be seen.

Home Care Advice for Anal Fissure (Pending Talking with Your Doctor)

    Definition: An anal fissure is the number 1 cause of blood in stools.
        -The blood is bright red, but only a few streaks or flecks are present
        -All the blood is on the surface of the stool or on the toilet tissue after wiping
        -Usually follows passage of a large or hard stool
        -You may see a shallow tear at 6 or 12 o'clock on the anus
    Warm Saline Baths: Give warm saline baths for 20 minutes 2 times per day for 1 day to cleanse the area and to promote healing. Add 2 ounces (60 ml) of table salt or baking soda to a tub of warm water.
  Steroid Ointment: If the anus seems irritated, apply 1% hydrocortisone ointment (no prescription needed) 3 times per day for 1 day to help healing.
  High-Fiber Diet:
        For children more than 1 year old, offer a nonconstipating diet.
       -Increase fruits, vegetables and grains (fiber).
        -Reduce milk products to 3 servings per day.
        -If Constipation is definitely the cause, see that topic.
    Expected Course:
Anal fissures usually heal up quickly with home treatment.
    Call Your Doctor If:
   -Bleeding increases in amount
     -Small bleeding occurs over 2 times
        -Your child becomes worse
And remember, contact your doctor if your child develops any of the "When to Call Your Doctor" symptoms.

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