|Stools - Blood In|
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|Does this describe your child's symptoms?|
|When to Call Your Doctor|
|Call 911 Now (your child may need an ambulance) If|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|HOME CARE ADVICE FOR ANAL FISSURE (until you talk with your doctor)|
- Definition: An anal fissure is the #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 "Call Your Doctor" symptoms.
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Author and Senior Reviewer: Barton D. Schmitt, M.D.
Last Reviewed: 9/15/2011
Last Revised: 8/1/2011
Content Set: Pediatric HouseCalls Symptom Checker
Copyright 1994-2012 Barton D. Schmitt, M.D.