How to diagnose and treat pediatric perianal disease

  In our daily practice, anorectal physicians often encounter pediatric cases, from 1 month to 12 years of age, with the main types of diseases including perianal abscesses, anal fistulas, hemorrhoids, etc. It is common for abscesses and fistulas to form in infants and children within 1 year of age, or for them to be treated without becoming fistulas. In this case, it is recommended to visit an anorectal specialist. In addition, it is better to request treatment from a physician at the attending level or higher. Because the anorectum and surrounding muscles are not well developed in infants, improper treatment will only make the condition more difficult to deal with and even leave incurable sequelae. In the case of internal hemorrhoids caused by dry, hard, coarse stools, prolapsed hemorrhoids and anal fissures, as long as the bowel movements are well regulated (regular rest, reasonable diet and proper exercise), oral medication (after the aforementioned 1-2 weeks of ineffective regulation) is used to regulate the spleen and stomach, laxative and laxative, and local ointment is applied to stop the bleeding and pain and protect the trauma. If the above treatment is ineffective for 7-14 days, surgery is recommended. In conclusion, the diagnosis of pediatric perianal disease is not difficult, but the choice of treatment is important. Suggestions: anorectal specialist to seek medical attention, timely treatment and early recovery!