For protecting young children during summer months, apply sunscreen at least 30 minutes before going outside ||It’s never too early to read for your child ||Trim your baby’s nails weekly after a bath when the nails are softened ||As a new mommy, sleep when your baby sleeps. Silence your phone and ignore the dishes in the sink ||Ask your baby's doctor about vitamin D supplements for the baby, especially if you're breast-feeding ||Until your baby is 6 months old, he'll get all the hydration he needs from breast milk or formula, even in hot weather ||The most important thing on growth curves is how your baby grows over time. If he's small but growing at the appropriate rate, there's usually no cause for concern. ||Plan for regular family meals. Enjoy being together as a family and give a chance for everyone to decompress from the day ||Use each feeding as an opportunity to build your newborn's sense of security, trust and comfort. ||Toddler's appetite may change almost daily. Let her be the judge of how much she needs and wants to eat. ||
Anal Fissure

An anal fissure is a shallow crack in the skin at the opening of the anus. More than 90% of children with blood in their stools have an anal fissure. The main symptoms are as follows:

·   The blood is bright red.

·   The blood is only a few streaks or flecks.

·   The blood is on the surface of the stool or on the toilet tissue after wiping.

·   Your child usually passes a large or hard bowel movement just before the bleeding starts.

·   You may see a shallow tear at the opening of the anus when the buttocks are spread apart, usually at 6 or 12 o'clock. (A tear cannot always be seen.)

 

·   Touching the tear causes mild pain.

Conditions

Trauma to the anal canal during constipation is the usual cause of anal fissures.

 

Symptoms

Bleeding from a fissure stops on its own in 5 or 10 minutes.

 

 

 

Doctor's Instructions

Warm Saline Baths. Give your child warm baths for 20 minutes, 3 times each day. Have him sit in a

Basin or tub of warm water with about 60 gm of table salt or baking soda added. Don't use any soap on the irritated area. Then gently dry the anal area.          

Ointments. If the anus seems irritated, you can apply 1 % hydrocortisone ointment (nonprescription). If the pain is severe, apply Xylocaine ointment (no prescription needed) 3 times each day for a few days to numb the area.

 

Diet. The most important aspect of treatment is to keep your child on a non constipating diet. Increase the amounts of fresh fruits and vegetables, beans, and bran products that your child eats. Reduce the amounts of milk products your child eats or drinks.

Occasionally, a stool softener is needed temporarily.

 

CALL OUR OFFICE or 2356

During regular hours if

·   The bleeding increases in amount.

·   The bleeding occurs more than two times after a few days of treat­ment

 

·   You have other concerns or questions.

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