Hemorrhoids in children: causes, symptoms, treatment and prevention
Elena Malysheva - the host of the program “To Live Healthy” - has repeatedly caused the audience to smile when she told about “how to crap”. And the elementary ignorance of the parents of this "technology" leads to the fact that hemorrhoids - an adult problem - occurs in children. Can there be hemorrhoids in children? This unpleasant disease is typical for adults from 25 to 65 years, but kids are also susceptible to this disease. Hemorrhoids in children is rare, quite differently occurs (when compared with adults) and has other causes. More information is provided below.
The main causes of hemorrhoids in children
Almost every adult can name the causes of hemorrhoids. The most famous are:
- pregnancy and delivery;
- sedentary and sedentary lifestyle;
- carrying weights and so on.
But such factors are absent in the lives of young children.The causes of illness in babies are completely different. The most common is frequent constipation. Children of different ages, even babies, suffer from this problem. In most children, problems with the stool are associated with the immaturity of the digestive system, dysbacteriosis, and imperfect gastrointestinal tract. For older children (especially younger schoolchildren), the cause is usually an unhealthy diet.
A long sitting on a pot, which is not always caused by constipation, can provoke hemorrhoids. A child may have a “psychological” constipation when adapting to kindergarten or in unfamiliar surroundings. Wrong and planting on the pot on a schedule, but not when the baby really wants to defend the need. In this case, the veins in the pelvic region are filled with blood, and the blood flow is disturbed due to prolonged squeezing of the vessels and uncomfortable posture.
Hemorrhoids in a one-year-old child or a younger child may be a consequence of strong and prolonged crying. This often leads to a protrusion of a hernia and stagnation of blood in the pelvis. When screaming, the baby's tummy tightens, and the increased intra-abdominal pressure contributes to the overflow of blood vessels to the vessels.
Another problem of modern children is a sedentary lifestyle. School, homework, and then the computer, instead of actively relaxing, playing football in the street, running around, doing other outdoor games. Low physical activity is also characteristic of adults who suffer from hemorrhoids, because of this, but recently this disease is beginning to "look younger."
There is also a physiological cause of hemorrhoids in babies. The disease may be associated with congenital varicose veins. This usually occurs immediately after the baby is born. When you have a bowel movement or even in a calm state, you can see that a vein bulges in the anus. If there is such a problem, systematic observation of the physician and symptomatic treatment is necessary. It is possible that we can achieve a stable period of remission.
With such a predisposition is unlikely to get rid of hemorrhoids get for good. Most likely, the disease will occasionally remind of itself and at an older age. But if you learn a baby how to properly take care of your health (for example, you cannot sit on the toilet for a long time, the process of defecation should occur quickly), taking into account this problem, you can achieve long-term remission.
Clinical symptoms of hemorrhoids in babies
Signs of hemorrhoids in children are similar to the symptoms experienced by adults. The disease is manifested by itching and burning sensation in the anus, discomfort, sensation of a foreign body. But only a child who can already speak can complain of pain. Infants will only show great anxiety during bowel movements, often babies experience this unpleasant condition without any external signs that would show pathology.
Particularly attentive parents can detect a hemorrhoid that bulges when straining and then retracts into the anus. It is much easier to identify the anus crack. In this case, blood may appear in the feces.
Severe pain, as a rule, is only acute hemorrhoids. This is a pathology in which a thrombus forms in the hemorrhoidal node, which interferes with normal blood flow and requires early medical intervention. Any of the warning signs should be a reason for going to the doctor, and not self-treatment. The fact is that other diseases can have similar symptoms, for example, tumors (in children, if they occur,it is mostly benign) or prolapse of the intestine.
Hemorrhoids in babies of different ages: features
The cause of external hemorrhoids in children of one year of age, as a rule, is a strong crying. At the same time a lot of blood rushes to the veins, stagnation is formed. So parents should promptly identify and eliminate the cause of crying. Hemorrhoids in this tender age are hard to detect in the early stages. The child will not complain of discomfort, parents may suspect that something is wrong already at relatively advanced stages - if blood is found in fecal masses or loss of nodes. To prevent hemorrhoids, it is enough to regularly attend preventive examinations at the pediatrician. Additional attention should be paid to the condition of the child, if he often cries, is artificially fed (mixtures condense feces, which can damage the walls of the rectum), often suffer from constipation.
Hemorrhoids in a child of 2 years occurs most often because of the long "incubation" on the pot. It is good that most children at this age immediately complain of some unpleasant sensations, because they are not afraid of treatment and doctors.Diagnosis at this age is much easier than in infants. It is often possible to determine hemorrhoids at the initial stage in two-year-old children, so that the treatment can be started in a timely manner. The probability of occurrence of the disease at this age less than a year or earlier. A two-year-old has a more mature digestive system, there are cereals and liquid foods in the diet, the child moves more and cries less.
The symptoms of hemorrhoids of children of three years are even less disturbing than younger children. Their digestive system is already strong, so constipation is rare. It is only necessary not to abuse carbonated drinks and sweets, because it can provoke disorders of the gastrointestinal tract. The difficulty is that at this age there are already problems with timely diagnosis, because the child is afraid of treatment and may conceal some symptoms. Therefore, it is important to monitor his health.
Hemorrhoids in a four-year-old child are often accompanied by scratching in the area of the buttocks, which the baby is trying to hide. The child may refuse cereals and soups, becomes whiny and irritable.Sharply increases the risk of hemorrhoids in 6 years old when school begins. Lifestyle changes, the child spends most of the time sitting (and not on the most comfortable furniture), the diet is lost. Facilitates the situation only the fact that children, as a rule, have a more responsible attitude to their health and do not hide discomfort.
What to do, what doctor to handle the problem
It is necessary to immediately begin adequate treatment for hemorrhoids in a child. Which doctor will help? Complaints should be made first to the pediatrician. He can refer to narrow specialists: a proctologist who works with young patients, and a pediatric surgeon.
Hemorrhoids treatment in young patients
If hemorrhoids in a child, what to do? The treatment is no different from the same for adults. But not all drugs can be used in the case of small patients, so be sure to visit the doctor and follow his recommendations, rather than engage in therapy on their own. With caution and only after the approval of the pediatrician should use the means of traditional medicine, as some of them may be allergic.
There are no effective hemorrhoids ointments designed specifically for children, so it is necessary to conduct therapy with “adult” medications. Suitable for example, sea buckthorn candles, which do not cause an allergic reaction, quickly stop the inflammatory process and stop the bleeding. If you choose the right dosage, sea buckthorn oil can help not only relieve symptoms, but also cope with the disease.
Vishnevsky ointment also relieves swelling and eliminates the inflammatory process. This tool is completely safe for children of any age. It is best to use complex, combining with other drugs. "Relief" is a candle and an effective hemorrhoid ointment. Not only struggling with unpleasant symptoms, but also eliminates the causes of the disease. You can use the "Relief" only as directed by the pediatrician, as there are some contraindications. Candles and ointment are not recommended for children who are under three years old.
In addition to those already listed above, you can use such ointments as "Gepatrombin G", "Proktosedil" (not for infants), "Ginkor simply", "Aurobin". To introduce a candle to your baby,you need to take it with one hand for the heels and slightly lift it. Take the candle in the other hand and quickly, but gently move it completely into the anus. You can put the child on the side and in the same way to introduce medicine. To prevent the candle from coming out, it is advisable to slightly squeeze the child’s buttocks and hold them for about five minutes. To make the procedure painless, you can pre-lubricate the anus of the child with oil, baby cream or petroleum jelly.
Candles should be stored in the refrigerator, and before use, hold at room temperature for 5-7 minutes to the medicine warmed slightly. During the procedure it would be good to entertain the child with something, for example, you can turn on a cartoon, talk to the baby, sing a song to him. It is best to put candles on a small patient after a bowel movement. Otherwise, the procedure may cause an emptying of the intestines, so that the medicine will be released along with the stool.
Elimination of constipation - the main cause of hemorrhoids
How to treat hemorrhoids in children? It is very important to eliminate the main cause of the disease in children - constipation. It is necessary to help the baby to cope with difficult bowel movements.To do this, apply drugs. A mild laxative, such as Duphalac, will do. You can make the baby a massage (around the navel clockwise with gentle pressure) or put microclysters. Glycerin candles give a good effect. Full enema for hemorrhoids is forbidden to do, as this will only aggravate the child's condition. For microclysters, you can use "Mikrolaks", herbal.
Microclysters make with the help of a syringe with a rubber tip. Capacity first you need to pour hot water. Breast baby need to lay on his back and lift his legs up. You can put it on your left side, it is desirable to put an oilcloth and a thin diaper. Tip syringe need to grease with petroleum jelly. First, you should release the excess air out of it by gently pressing your hand on the pear. Then, holding the baby's legs with his left hand, press them to the stomach, dilute the buttocks. Right hand at this time, the tip is introduced by rotational movements into the rectum by 3-5 cm. Water or solution must be released slowly. Next, you should squeeze the buttocks and gently withdraw the tip. It is better to hold the baby's buttocks for a few more minutes, so that the microclysters have an effect.
Regarding fluid volume, here are general guidelines:
- 1-3 months - 20-30 ml;
- 3-6 months - 50-70 ml;
- 6-12 months - 100 ml;
- 1-5 years old - 180-200 ml;
- 6-7 years old - 200-250 ml;
- 8-9 years - 400-500 ml;
- over 9 years old - 500 ml or more.
For babies, an enema can be replaced by a hemoclea or irritation of the anus with a rubber tip. Pediatrician S. F. Boykov described this method. He noticed that if an enema was introduced into the anus of the infant, but not water was introduced, the crumb would begin to straighten to get rid of the foreign body. This is usually enough to cause a chair.
Traditional methods of treatment of hemorrhoids
Traditional methods of treatment should be applied only after consulting a pediatrician. To eliminate the unpleasant symptoms of the disease will help such methods of alternative medicine:
- baths of decoctions of oak bark, marigolds, chamomile, succession (any decoction is usually done as follows: for one tablespoon of raw materials you need to take a glass of boiling water, leave for ten minutes);
- lotion with a decoction of strawberry leaves, beet pulp, carrots, rowan berries, a weak solution of potassium permanganate;
- rosehip oil and sea buckthorn (the temperature should be about 40 degrees) is used for microclysters, and potato juice is also suitable;
- trays with juice of garlic and onions;
- compresses with ointment from propolis, pounded honey,beeswax and vegetable oil (the ointment is made as follows: rub with 10 tablespoons of honey of propolis with a tablespoon of honey, add 50 grams of beeswax to the cooled mixture of tablespoons of vegetable oil).
The last remedy should not be used categorically if the baby is allergic to bee products.
Surgical intervention for hemorrhoids
Surgery is prescribed to small patients only in exceptional cases. Surgical intervention is indicated for the fourth stage of hemorrhoids or persistent bleeding. Most often, surgery is performed using a laser, since such an intervention does not cause complications and allows you to remove hemorrhoids partially or completely. Some doctors are committed to cryogenic treatment and prescribe it to their little patients. However, for a child’s body it is too difficult a test, although the method itself is very effective.
Opinion of Dr. Komarovsky
The famous pediatrician and presenter of the TV program “School of Doctor Komarovsky”, which many parents trust, asserts that, rather, it is not about hemorrhoids in the usual understanding of adults, but simply about cracks in the anus.Can there be hemorrhoids in children? Yes, but in children "a thousand times less than in adults," and if it is still hemorrhoids, then serious therapy is needed. It is necessary to immediately understand the reasons and in any case not to postpone treatment indefinitely.
How to treat hemorrhoids in children? Dr. Komarovsky unequivocally argues that the treatment should be conservative, and used both methods of official medicine and folk remedies. Therapy is not only effective, to quickly cope with the disease, but also safe, so only a pediatrician should prescribe medications. In the event that hemorrhoids are caused by congenital expansion of the hemorrhoidal veins, the child must be constantly monitored by a doctor.
The famous pediatrician recommends using for the treatment of candles "Gepatrombin G", "Ginkor Procto", ointment "Relief Ultra", "Aurobin", sea buckthorn candles. Since there are no special remedies for the treatment of hemorrhoids in children, it is necessary to use adult medicines, but in a lower dosage. Some ointments and suppositories are contraindicated for use by young patients, so care should be taken when choosing a remedy.
Very popular in the treatment of children and folk remedies, according to Dr. Komarovsky. The pediatrician recommends making baths with decoctions of herbs that will help eliminate inflammation. This is a calendula, a string, chamomile, and a weak solution of potassium permanganate is suitable. You can apply microclysters with rosehip, sea buckthorn. When the external localization of nodes to cope with them, you can use Vishnevsky ointment and compresses based on birch tar.
It is important to change the diet. It is necessary to normalize the stool, as the main cause of external or internal hemorrhoids in a child is constipation. In the diet should be as much as possible fruits and vegetables rich in fiber. The daily rule is half a glass of cool water in the morning on an empty stomach. The child should be taught to drink enough clean water, not drinks, compotes and tea. Another important stage of treatment is the restoration of the normal intestinal microflora.
Prevention of childhood hemorrhoids
It is known that it is always much easier to prevent a disease than to treat it afterwards. This is especially true of children. Prevention of hemorrhoids in children under the force of all parents. Here are the basic rules:
- In the diet of the child must be liquid meals, cereals, vegetables. Meals should be varied and helpful.
- It is necessary to limit the time spent by the child at the computer. It is better to send the child for walks in the fresh air more often, and to write down the kids in the section where they will play sports under the supervision of a coach.
- Very small children can not be left in one position for a long time. They need to raise their legs and arms, take them in their hands, turn them over, regularly do gymnastics. This prevents stagnation of blood in the pelvic area.
- It is necessary to establish contact with the child so that he is not afraid to talk about what is bothering you. Asking about the state of health should be gently, avoiding questions in the forehead.
If the child does not want to follow the rules established by the parents for his own good, it is worth telling about the consequences of such behavior. In no case can not scream at the child or intimidate him, as this can cause fear of doctors and hospitals. The baby will only close in itself, and in case of discomfort it can be afraid to say this to the mom or dad. So you can miss the precious time of treatment.
Although hemorrhoids are quite rare in children, the danger is still present. At the first signs of the disease, you should go to a pediatrician, pediatric surgeon or proctologist.