12 Yr Old with Anal Pain

Updated on August 10, 2009
M.J. asks from Florissant, MO
17 answers

After a hard bowel movement on Monday my son has complained about his butt hurting. In thinking he had not properly wiped I suggested that he take a bath and soak a bit. We have had bleeding before due to hard stools and with a modified diet it has resolved itself. But this time he says it hurts to sit and move his leg. So after a bit of persuasion he allowed me to look at it. I am no expert but don’t consider the swollen area to be a hemorrhoid. It is not something protruding, it is just swollen and inflamed anal ring. We put heat a heating pad on it last night and this morning to ease the pain. I have insisted that he eat applesauce with at least 2 of his daily meals and at least one salad or veggie a day. If any of you moms could assist in what to do and when should he see a doctor!?

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R.D.

answers from Kansas City on

Make a doctor appointment. It may be constipation or hemorrhoids (they can be inside and not show). In the meantime, insist on more fiber and LIQUIDS!! Best wishes.

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C.M.

answers from St. Louis on

Just take him to the doc. I had a bad case of Hemoroids last year and it was horrible. They perscribed me a suppositry and it was awesome. If he's already let you look at it, a doc will be no big deal. Get it done before he starts school. It may only get worse. Over the counter stuff won't work as well. The perscription will work fast, believe me. He'll be feeling a difference ina few days.

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A.K.

answers from Springfield on

Heat will increase inflamation...try a Tucks medicated pad to ease the pain.

3 moms found this helpful
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R.M.

answers from Topeka on

DO you know if there was any blood in his stool when he had the bowel movement? That is something that I would definitely be on the look out for.
Could I suggest that you look into putting him on a daily Docusate Sodium Pill?? (DOS) Check at your local pharmacy, they should have a generic form of the pill that sells for about $2 for 100 capsules...a LOT cheaper than the name brand stuff!!! I would also add some fiber to his diet...high fiber cereal...fibe bars...fresh fruits and veggies. This is possibly going to be a life long issue for him so he needs to learn how to deal with it effectively now.
R. Ann

2 moms found this helpful
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A.H.

answers from Springfield on

M. J.,

I would recommend calling your son's doctor's office and state the problem and ask if there is something you can do, or if he needs to be brought in to see the doctor before a treatment can be reached to ease the pain. Be sure to tell them how long this has been going on, what you have tried so far, and the results observed from what you have tried so far, whether it was successful or not.

It is very possible he may have to go in and see the doctor to get a correct diagnosis, and it is probably a good idea since you said he is in pain.

Good luck!

2 moms found this helpful
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S.D.

answers from Topeka on

Make an appt. to his dr in the morning he has anal pain has had blood in stools constpation and passes large bowels.He needs to eat more fiber variety of fruits and veggies ask your dr if he approves mineral oil in his juice I had to do this with my son when he was 2 because he was afarid to use the potty chair and it helped so much with constipation.

2 moms found this helpful
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K.G.

answers from Joplin on

Yes he should see the Dr straight away. Anytime an area is inflamed it is either extremely irritated or has an infection. He could also have internal hemmoriods you can't see. Anytime an orfice is infected, especially one that is full of natural bacterias, you need to addresss it quickly. I hope that your son feels better very soon. God bless you.

1 mom found this helpful
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M.R.

answers from St. Louis on

Do you think he could have a little tear there. If you think it is a tear I would take him to the doctor and they can give him a little medicine to heal that up. I have a little tear and the doctor suggested for me to take Miralax to soften things up and he also gave me Nitro cream which is for the heart but it is supposed to be the best thing for a anal tear, and it does clear it right up in about 48 hours or less. Best of luck!!

1 mom found this helpful
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J.A.

answers from St. Louis on

My 12 yr old son has had problems with bowels since day 1... he holds it so long that by the time he finally goes we have to call a plumber... I have no doubt it hurts! Definitely call the doc, but for future purposes get some miralax from walmart - my dr prescribed it years ago but it is now available over the counter. Use it per the label *daily* and he should become much more regular. You can play with the dose to get it to where he goes regularly (not necessarily daily) and it is normal size and consistency. We also use milk of magnesia the same way, but like the miralax better. There is actually a name for this whole syndrome of holding and extra large poops, just cant remember offhand (google would find I am sure). Good luck and please post what the docs says!

1 mom found this helpful
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B.C.

answers from Joplin on

I would take him to see his pediatrician, hard stools can sometimes cause fissures ( like litte cuts) I would try to get him to eat more fiber and maybe some prunes or even a little prune juice, I was always told apples were for firming stools. Sometimes they put them on a medication to help soften the stools to get the body back to being regular and also so he can heal. My daughter was on a liquid prescription medicine for a long time that I was told was non habit forming and was basically a simple sugar that her body couldn't break down so it just "passed through" it basically helped to soften stools...I feel for your son it is not a pleasent situation to be in, I am glad you have such open communication = ) It would take some serious pain for my oldest son to let mom have a look! Please at the minimum call his doctors nurse and ask if she thinks he needs to be seen.
B.

1 mom found this helpful
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K.B.

answers from Wichita on

Good Morning M., he could have a internal hemorrhoid, they can't be seen on the outside. They happen the same as the external ones. To much straining to have a BM.

Juice, applesauce, a little Fletcher's will soften up the stool. If it doesn't get better or the pain doesn't cease then I would take him in to be checked.

God Bless, Praying your little man is better soon
K. Nana of 5

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C.D.

answers from St. Louis on

Talk to your doc and see if you can try to supplement magnesium for him if his stools are always firm. We've been doing that for my daughter (1/4 of a 250 mg tab, crushed in her juice--she's 3) and we're trying cutting back on that because her diapers have been so messy since we started....that's a BIG change from how she used to be...always straining and sometimes crying to pass large firm poops.

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L.B.

answers from Columbia on

I think it could be an internal hemorrhoid. They hurt just as bad (or worse) as external ones.
I assume you have used hemorrhoid cream or ointment...if you haven't, try it...so then I would suggest a suppository.
As far as diet goes, fruit and veggies are great sources of soluble fiber (as you know), but they don't provide enough insoluble fiber.
Wheat, grains, nuts, oatmeal, etc. are good sources of insoluble fiber.
Our son has problems with large, solid BM's...he eats fruit like no one I've seen, and veggies, too. It's not enough to make his stool 'regular' in size or frequency...what we have found that helps him considerably is fiber wafers (Metamucil makes them, though I don't doubt you can find other brands).
I know it sounds like an exaggeration, but adding just one wafer a day to his diet has changed his whole quality of life!
I hope you soon find comfort for your little man!
Good luck!
lb

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R.L.

answers from St. Louis on

Dear M.,
I know I am late in responding to this, but I just saw it. If it hasn't resolved itself by now, I would take him to a pediatric gastronologist. My son went through a year long upisode of anal bleeding before the pediatrician finally referred us to the specialist. He kept saying it was constipation. It turns out that my son had some sort of infection. He was put on two rounds of very strong antibiotics and was fine. The bleeding stopped, never to return. He's almost 21 now. Weird thing is it happened when he was twelve too. Oh, not to scare you or anything, but they did make him have a colonoscopy just to be on the safe side. He said it wasn't really too bad.
Hopefully, your son is fine by now.

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L.P.

answers from Wichita on

M.,

Add more fruits and fiber to his diet. Grapes work well to help soften stools. Hope he gets better soon!!

L.

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M.B.

answers from St. Louis on

I'll echo the suggestion that a call to the doc's office is in order. At least with my pediatrician, they usually have great advice on non-office visit situations and can determine whether it's time for the doctor to see him.

Our little girl has lots of #2 problems and is on Miralax, but I wouldn't give it without a doc's recommendation. Applesauce is actually a firming food, but most people don't know that--as I didn't before all this! Limit dairy and bananas and give prunes or raisins to help him out--they have sugars that pull more water into the stool and soften it.

I would second the Tucks recommendation--they will cool and clean the area and reduce inflammation. Also, let him sit in lukewarm baths without any soap for 20 minutes or so a day to decrease irritation and help him heal any fissures or anything. It's very soothing.

Hope he feels better soon!!

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D.G.

answers from St. Louis on

My chiropractor suggested putting a bit of flax seed oil in juice daily(available at the grocery). It is a natural lubrcant. Doctors know about meds. chiros know the ody & how it works, feel free to interview them too and find one you like, their techniques very too.
D.

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