Rectal Polyps in Toddlers: Care and Treatment Options - Pediatrics

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Anal polyps


Hello doctor, my son is one year and four months old.
Recently, he has developed a pink growth at the anal opening, which has been present for over a week.
He has not experienced constipation; his stools are very large and soft, but he is in significant pain during bowel movements and cries a lot.
I researched online and found that it might be a polyp.
How should I care for him, and is surgical removal necessary?

An Ma, 30~39 year old female. Ask Date: 2015/11/19

Dr. Xiao Kaiwen reply Pediatrics


You should first consult a pediatric surgeon to confirm whether it is an anal polyp (which may be caused by repeated anal fissures due to hard stools leading to mucosal fibrosis, or possibly anal rectal prolapse, or an infected abscess).
The management approaches differ.
Smaller anal polyps may improve with lifestyle and dietary changes to alleviate constipation, while larger anal polyps may require surgical removal, which can be discussed with a pediatric surgeon.

Reply Date: 2015/11/19

More Info


Understanding rectal polyps in toddlers can be concerning for parents, especially when they notice unusual growths or changes in their child's bowel habits. Rectal polyps are growths that can occur in the rectum or colon, and while they can be benign, they may cause discomfort or other symptoms.

In your case, since your son is only 14 months old and has developed a pinkish growth at the anal area, it is essential to consult a pediatric gastroenterologist or a pediatric surgeon for an accurate diagnosis and appropriate management. The fact that he is experiencing pain during bowel movements and crying indicates that the polyp may be causing some discomfort, which is not uncommon.


Care and Management Options
1. Observation: If the polyp is small and not causing significant symptoms, your doctor may recommend a watchful waiting approach. This means monitoring the polyp for any changes in size or symptoms over time.

2. Dietary Adjustments: Ensuring that your child has a diet rich in fiber can help soften stools and make bowel movements easier. Foods such as fruits, vegetables, and whole grains can be beneficial. Additionally, ensuring adequate hydration is crucial.

3. Pain Management: If your child is experiencing pain during bowel movements, your pediatrician may recommend over-the-counter pain relief options suitable for toddlers. However, always consult your doctor before administering any medication.

4. Surgical Removal: If the polyp is large, causing significant symptoms, or if there is any concern about its nature (such as the possibility of it being precancerous), your doctor may recommend surgical removal. This procedure is typically done under anesthesia and can often be performed as an outpatient procedure.

5. Follow-Up Care: After any treatment, including surgical removal, follow-up appointments will be necessary to ensure that the area is healing properly and to monitor for any recurrence of polyps.


When to Seek Immediate Care
If your child experiences any of the following, you should seek immediate medical attention:
- Severe pain that does not improve with over-the-counter pain relief.

- Blood in the stool or from the rectum.

- Significant changes in bowel habits, such as prolonged diarrhea or constipation.

- Signs of infection, such as fever or swelling around the anal area.


Conclusion
In summary, while rectal polyps in toddlers can be concerning, many are benign and manageable with proper care. It is crucial to consult with a healthcare professional who can provide a thorough evaluation and recommend the best course of action based on your child's specific situation. Early intervention can help alleviate discomfort and prevent potential complications. Always prioritize your child's comfort and well-being, and do not hesitate to reach out to a specialist for guidance.

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