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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent But Increasing Rectal Pain?

My 5 yr old son has been having infrequent, though increasing, intermittent rectal pains for over a year now. Tonight was another episode. Looking at his rectum, it appears mildly beefy red/inflamed and has a single satellite mildly red bump measuring approx 3mm about 1 cm to the right of his rectum. It is very sore to him as this has awakened him from sleep. Putting even routine hydrocortisone on it hurts (per his words). He doesn t have any fever/chills, abdominal pain, nausea, vomiting, or diarrhea. Maybe some mild constipation though. I ve been trying to figure this out on my own. I ve come up with either UC/Up (proctitis) or anal fissure (though cannot actually see it). He has h/o mild intermittent asthma taking flovent seasonally which controls it well. Your thoughts???? Thank you.
posted on Fri, 14 Mar 2014
Twitter Sat, 31 Oct 2015 Answered on
Twitter Mon, 2 Nov 2015 Last reviewed on
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Pediatrician,  's  Response
Hi, by what you quote, it seems that your child probably has anal figure, anal tag or proctitis. Proctitis seems little unlikely as in proctitis inflammation is more, pain is more and sometimes fever and loose stools are also present. In my opinion, proctoscopy should be done to confirm the diagnosis. Sitz bath should be given and local anesthetic cream like lignocaine might help. Take care.
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What Causes Intermittent But Increasing Rectal Pain?

Hi, by what you quote, it seems that your child probably has anal figure, anal tag or proctitis. Proctitis seems little unlikely as in proctitis inflammation is more, pain is more and sometimes fever and loose stools are also present. In my opinion, proctoscopy should be done to confirm the diagnosis. Sitz bath should be given and local anesthetic cream like lignocaine might help. Take care.