Pediatric Anal Growths: When to Seek Medical Advice - Pediatrics

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A lump?


Hello Dr.
Zhao,
My child is currently 8 months old.
A few days ago, I noticed a lump near his anus that looks similar to an adult hemorrhoid.
It has been present for about 3 days.
There is no bleeding and it doesn't seem to be painful.
His bowel movements are normal, although occasionally his stools are a bit hard.
Should I be concerned about this lump potentially indicating other issues, or should we visit the clinic for an examination and possible medication? I'm worried it might get bigger.
Thank you!

Xiao Yang, 30~39 year old female. Ask Date: 2004/08/17

Dr. Zhao Yongkang reply Pediatrics


Hello, Xiao Yang: Based on your description, it may be a polyp-like growth at the anal opening.
Generally, in children, these are mostly benign.
It is advisable to have a pediatric surgeon evaluate it, but I recommend that you visit a hospital for a definitive diagnosis.
Thank you for your message! Wishing you peace, Director of Pediatrics, Hsinchu Hospital, Zhao Yongkang.

Reply Date: 2004/08/17

More Info


Hello! Thank you for reaching out with your concerns about your child's anal growth. It's understandable to be worried when you notice something unusual, especially in such a young child.
From your description, it sounds like your child has developed a growth near the anus that resembles hemorrhoids, which can occur in both adults and children. In infants, such growths can sometimes be benign and may not necessarily indicate a serious problem. However, there are several factors to consider when assessing whether medical attention is needed.

1. Nature of the Growth: If the growth is soft, non-painful, and not associated with bleeding, it may be a benign condition such as a skin tag or a small cyst. However, if it changes in size, becomes painful, or starts to bleed, it would be advisable to seek medical attention.

2. Bowel Movements: You mentioned that your child's bowel movements are normal but occasionally hard. Hard stools can lead to straining during bowel movements, which might exacerbate or cause anal growths. Ensuring that your child is well-hydrated and consuming a diet rich in fiber (if appropriate for their age) can help prevent constipation and reduce the risk of further issues.

3. Monitoring Symptoms: Keep an eye on the growth over the next few days. If it does not improve or if you notice any additional symptoms such as pain, bleeding, or changes in bowel habits, it would be wise to consult a pediatrician.
4. When to Seek Medical Advice: It is generally recommended to seek medical advice if:
- The growth increases in size or changes in appearance.

- There is any bleeding or discharge.

- Your child shows signs of discomfort or pain.

- You have any concerns about your child's overall health or development.

5. Potential Treatments: If a pediatrician examines your child and determines that the growth is concerning, they may recommend treatments ranging from topical medications to, in rare cases, surgical removal, depending on the nature of the growth.

In conclusion, while it may not be urgent to seek medical advice immediately, monitoring the situation closely is essential. If you notice any changes or if your concerns persist, do not hesitate to consult a healthcare professional. They can provide a thorough examination and appropriate recommendations tailored to your child's specific situation.
It's always better to err on the side of caution when it comes to your child's health, so if you're feeling anxious about the growth, a visit to the pediatrician can provide peace of mind and ensure that everything is okay. Thank you for your question, and I hope your child remains healthy and happy!

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