Anal Fissures in Children

An anal fissure is a small split or tear in the thin moist tissue, lining the lower rectum or anus.  Anal fissures in children are common with more than 90% of children with blood in their stools diagnosed as having an anal fissure.   Baby anal fissures are especially likely. 
The symptoms of anal fissures in children are:

Anal Fissures

 

Anal fissures are a common problem in children younger than one year, often affecting as many as 8 out of 10 babies.  The rate of anal fissures decreases rapidly with age.  They become much less common among school aged children.

These often painful anal fissures are usually caused by injury to the anal canal during the passing of a large or hard bowel movement.  Of course injury could also be caused if the child was being sexually abused and it is important to be aware of that.  Any bleeding from the fissure will stop on its own within 5 to 10 minutes of a bowel movement while the fissure itself will usually heal within a couple of days.

You can help your baby or child to heal by the following good home care treatment:

 

Anal fissures in children can sometimes cause an additional problem when they become aware that passing a stool is going to be painful.  They then tend to hold on, resisting the urge to have a bowel movement which means even larger and harder feces can form that cause even more pain when they are finally eliminated.  This is why in some cases it becomes necessary to use a laxative to ensure soft, loose fissures while the healing process takes place.