My 4 year old son has just been diagnosed with an Anal Fissure and has been given antibiotics (not sure why - I assume it's to do with the inflammation that he has all around his anus) and some lactulose.
Does anybody have any experience with this?
I had one for years but ended up having surgery twice to fix it (they loosened my muscle down there so that I lost feeling in there) and obviously I really want to avoid this happening to him.
We banned bananas a while ago as they tend to clog him up and I want his stools to be as soft as possible so that the fissure can get on with healing.
I feel so sorry for him when he goes - he screams and there's so much blood
Poor little guy!
My sister has been plagued with them since tiny and now is worse as an adult. My advice (as a nurse and a mummy is this )
Reduce dairy as that leads to firmer stools but make sure you increase calcium in other foods (leafy greens etc and possibly a vitamin tablet)
daily apple or pear juice is great to keep the digestive system going and works better than orange juice. It's not as harsh as prune juice and is often easier to get children to drink as it tastes better.
Keep his diet full of soluble and insoluble fibre to keep his stools moving soft and full. It will mean his stools may be a little larger but they will be softer and far easier to pass as his bowel will be able to move them along quicker (which means less water is taken out of them keeping them soft) By doing this is will mean his is less likely to keep damaging the fissure allowing it to heal. I would also encourage him to wash after having a bowel movement with lukewarm water rather than using toilet paper. It will be far kinder to his little sore bum. He will have been given antibiotics to prevent it becoming infected due to it coming in to contact with bacterial.
Lastly, if he feels he needs to poo encourage him to try but don't allow him to sit for ages. It will only put pressure on the fissure and cause more trauma. If you need any more support or advice you can message me any time xxx
Not been given anaesthetic cream no - I know I only got mine when I was referred to see a consultant who performed my operation. He wanted to trial that first, and I think it's a bit difficult with a 4 year old to know when to put it on as needs to be 5 mins before going for a BM.
Thank you for all that help Teri. He had his first dose of Lactulose last night and woke up at 4am this morning saying his bum was sore, connected, not sure but fingers crossed we can get this sorted soon xxx
May sound silly but as it heals it will become a little itchy he's maybe scratching it in his sleep which will make it sore. Keep his nails short or put him in a onsie at night for a few days til it's past thay stage. Hope he gets better soon xx
Aww, my daughter was the same when she got badly constipated. We used to call her a milk monster as she would have chosen milk over any food at all. Still would given the choice at 3. Don't change his diet rapidly though otherwise the poo will be running out of him and give him a raw bum worse than he has. Xxx
My son had one that was fixed a couple months before he turned two. He was severely constipated from 1-2 years. The doctor got us into the surgical clinic where we got some sort of paste to use daily, it didn't work so he went into theatre to get a botox injection into it and he's never had issues since. Turns out the pain from the fissure was causing the constipation to get much worse, him not wanting to go because of the pain caused him to hold it for as long as he could.
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