My 5 yr old son has been having infrequent, though increasing, intermittent rectal pains for over a year now. Tonight was another episode. Looking at his rectum, it appears mildly beefy red/inflamed and has a single satellite mildly red bump measuring approx 3mm about 1 cm to the right of his rectum. It is very sore to him as this has awakened him from sleep. Putting even routine hydrocortisone on it hurts (per his words). He doesn t have any fever/chills, abdominal pain, nausea, vomiting, or diarrhea. Maybe some mild constipation though. I ve been trying to figure this out on my own. I ve come up with either UC/Up (proctitis) or anal fissure (though cannot actually see it). He has h/o mild intermittent asthma taking flovent seasonally which controls it well. Your thoughts???? Thank you.
Hi, by what you quote, it seems that your child probably has anal figure, anal tag or parotitis. Parotitis seems little unlikely as in parotitis inflammation is more, pain is more and sometimes fever and loose stools are also present. In my opinion, photocopy should be done to confirm the diagnosis. Site bath should be given and local anesthetic cream like lidocaine might help. Take care.