Features and methods of paraproctitis in children

Paraproctitis most often affects men from 20 years and mature age, but it can also occur in infants.

Timely treatment allows you to eliminate the disease without dangerous consequences.

The task of parents is to recognize the onset of trouble in time.

What is paraproctitis?

Paraproctitis is an inflammation of the cellular tissue in the anus. It arises from the infection of the walls of the rectum.

The boys are most often sick, the infringement of girls is rare. Most often, this disease occurs in children from birth to about a year. Specialists also note the occurrence of purulent subcutaneous disease in infants, which occurs quite often.

The cause of infection in children is staphylococcus, and in adults - E. coli.

Causes and risk factors

The cause of paraproctitis is most often the infection of an infection.

First, the anal gland is affected, then the infection passes to fatty tissue near the rectum and there is a corresponding suppuration.

If you do not treat the infection, the abscess spontaneously opens inside the cellulose or out. Then a fistula and develops from acute to chronic.

The cause of the disease in children is a feature of the structure of the anal glands, its abnormal ducts. These glands have additional channels and branching, which easily become infected if the following conditions are favorable:

frequent bowel movement, which occurs in newborns.

• constipation( in children they are not uncommon);
• weak immune system;
• poor hygiene and unsanitary conditions;
• microtrauma of the rectum and intestine;
• deviations in the formation of the microflora of the child's gastrointestinal tract;
• pathological diseases of the mucous anus.

All these factors affect the development of the disease in children. In infants, the cause of infection can be diaper rash, irritation of the skin around the anus.

Symptoms of the disease

The main symptoms of childhood paraproctitis include constipation or diarrhea, pain in bowel movements and urination, poor appetite, fever and general anxiety of the child.

As a rule, there is swelling around the anus and excessive filling of the blood vessels in the anus.

Paraproctitis in children is acute and chronic. According to the location of the abscess, the paraproctitis is subcutaneous, submucosal, sciatic, rectal, rectal and rectal.

Children often get acute subcutaneous paraproctitis. The remaining forms are less frequent.

The acute form of the disease in young children is characterized by a strong crying of the child during a bowel movement, pain in the anus.

Around the anus, the bumps and redness are observed, hot to the touch and very painful, the folds of the mucosa become smooth. The buttocks of the child become swollen and reddened.

Chronic paraproctitis occurs as a result of neglecting the treatment of the acute form of the disease, in which case a fistulous course appears.

It happens:

• complete, when the fistula is released into the rectum and onto the skin;
• is incomplete when the open fistula is not connected to the anus, but only to the skin.

An incomplete fistula with a closed exit ends in the rectum and has no outlet to the outside. As a result of congenital pathology, a child may have a fistulous course, which, if infected, becomes full.

Periodically, chronic paraproctitis worsens and becomes acute.

Special treatment for children

Paraproctitis in children is treated in a stationary setting to avoid sepsis.

There are two methods of treatment:

1. First conservative treatment of is prescribed with the use of suppositories, antibiotics, microclysters, trays, ultraviolet radiation. Prevents the suppuration of using Vishnevsky ointment and the sessile baths with a light solution of potassium permanganate.
2. If after the use of medications and other techniques does not occur improvement is recommended surgery .Here, an experienced physician opens an abscess and puts a drain to remove pus. Also, the hole through which the abscess passes into the rectum is removed.

On the photo, surgical treatment of paraproctitis in children

After treatment in a timely manner, the patients completely recover. Only 9% of the disease takes a chronic form.

Chronic paraproctitis is treated, as well as acute, by excision of the fistulous course, removal of pus and healed tissues.

Children such operations can be carried out when they reach the age of two years - by that time a fistulous course will completely form.

Chronic course of the disease can be alleviated by preventive actions:

• should be monitored for the timely removal of stool from the rectum of the child;
• produce a thorough hygiene of the rectal area;
• take baby sessile baths with potassium permanganate or other disinfecting solutions.

How dangerous is the disease?

If you do not consult a doctor right away, the consequences of the disease can be serious and sometimes irreversible.

Here it is often observed:

1. The abscess may spontaneously open. If it breaks through to the skin, then this is a favorable outcome of the events, although will remain an inflammatory focus, a fistulous course. Another thing is, when pus breaks into the rectum or vagina, he will bring there the infection and fistula between the abscess and the affected organs will be difficult to eliminate.
2. The second complication of is purulent inflammation of neighboring organs: uterus, prostate, vagina, bladder, ureters and rectum. Such an outcome can lead to disability, because the pus-affected organs in children are deformed and the treatment is not amenable - they need only be removed.

Do not delay the visit to the doctor and immediately seek help if there is a pain syndrome in the child in the anus.

Prevention of diseases in children

Paraproctitis in children can be eliminated by conducting preventive actions. Little children can not themselves take care of this kind of care - this should be carried out with all responsibility by the moms and daddies of the kids.

The preventive measures include:

• exclusion of constipation in the baby, you need to do a tummy massage and comply with the diet;
• not to allow microtrauma of the anus area;
• ensure that there is no trauma to the mucous membrane of the rectum by foreign objects;
• strictly observe the sanitation and hygiene of the child, wash the crotch with warm water and soap regularly and after defecation;
• in time to treat various intestinal infections that can lead to the disease;
• to carry out general strengthening procedures recommended by a specialist;
• regular visit to the doctor for preventive examination.

As a summary of

The causes of the disease include staphylococcal and intestinal infections, frequent bowel movements in abnormal ducts of rectal glands.

Constipation and congestive manifestations in the rectum, as well as weak immunity, can lead to these aspects and disease.

Prevention of the disease is aimed at eliminating these causes. Preventive actions will help prevent the disease and alleviate the suffering of the child.

After finding the symptoms of paraproctitis in your baby, immediately contact a proctologist. Timely treatment of this disease leads to its complete cure.

If the disease is started, irreversible consequences can occur. Caring for the baby requires great responsibility and tireless work, but you can not let go of the symptoms of any disease.

Nothing will pass by itself - timely treatment and prevention is necessary, then no diseases are terrible.