Your toddler may be clumsy simply due to her trials to master so many new physical skills at the same time. The more active she is, the more likely she will drop things, run into things, or fall down. ||Presumably, your baby won't recall events from his life before age 3. Still, these early experiences outline his vision of the world ||Most newborns need eight to 12 feedings a day — about one feeding every two to three hours ||Infant constipation is the passage of hard, dry bowel movements — not necessarily the absence of daily bowel movements ||If every feeding is painful or your baby isn't gaining weight, ask a lactation consultant or your baby's doctor for help ||When your infant is carried, he should be oriented toward the carrying adult ||Bathe baby for no more than ten minutes in warm water especially if he shows signs of skin eczema. ||Plan for regular family meals. Enjoy being together as a family and give a chance for everyone to decompress from the day ||Don’t rush into solving your kid's problems. Give him the chance to conclude, all on his own, that things are going to be okay. ||Expressing milk should be painless. If it hurts, stop. ||
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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