A newborn baby boy of more than 20 days cried when defecating and refused to change his diaper. As soon as the mother opened the diaper, the baby would cry. One week after the operation, the wound healed and the child was healthy again. According to Chen Lei, director of the Department of Anorectal Medicine of the City Hospital of Traditional Chinese Medicine, there are such cases every year, and many children have been cured by the traditional Chinese medicine method of hanging threads plus herbal wound exchange, which has the advantages of simple and safe operation, convenient anal wound care, and exact efficacy. Can children get perianal abscess? Many parents cannot understand. Perianal abscess is more common in children, especially in newborns or infants, and is an emergency in anorectology. Most of the cases are related to sinus injury and infection. The following are some of the reasons why children suffer from perianal abscess. 1, anal sinusitis, which is one of the common diseases in newborns, is also the main reason for the formation of anal fistula in newborns. The inflammation of the anal sinus is due to the contraction of the anal sphincter, which affects the excretion of inflammatory secretions (including pus), so that the inflammation can spread to the rectum, around the anus, and then form a perianal abscess, which is very close to the skin and mucous membranes of neighboring organs (such as the vulva and vagina of baby girls), so once an abscess is formed, it is equivalent to the formation of a fistula, the inner mouth of which is located on the rectal wall, while the outer mouth is located on the skin or other organs The abscess forms a tube connecting the inner and outer ports after the pus has flowed out. 2, immune deficiency, this disease is worse than the resistance of healthy newborns (weak immunity, not yet mature), prone to sepsis and local infections. 3, systemic or adjacent to the anus at the septic infection, can be complicated by perianal infection. It is believed that some newborns have excessive androgen secretion, which stimulates the perianal sebaceous glands and leads to secondary infection.4. Occasionally, perianal infections occur secondary to trauma, including anorectal surgery, and eventually form anal fistulas.5. Other, including tumor rupture and venereal infection.6. Congenital anal fistulas, which some experts believe are due to abnormal development of the rectovaginal compartment during the fetal stage, especially in girls with rectovaginal fistulas and rectovaginal It is likely that the fistula is present at birth, and the symptoms are manifested after birth. Other reasons why anorectal perineal abscesses are prone to occur in infancy are: 1. Fecal compression: in children, the sacral bend has not yet formed, the rectum is vertical with the anal canal, and feces directly compresses the anal canal at the dentate line of the anal sinus, which can easily cause sinus damage and inflammation. The girl’s rectum before the uterus compression rectum, rectal curvature and similar to adults, the anal sinus is relatively less chance of injury by fecal pressure, so the incidence is lower than boys. 2, children around the anal diaper dermatitis, resulting in hair follicles, sweat glands, sebaceous gland infection, resulting in subcutaneous abscesses. In addition to the low immune function and poor resistance of infants, the relative secretion of sebaceous glands is also likely to lead to perianal subcutaneous infection and the formation of abscesses. Thus, it seems that perianal abscess in infants and children is a major factor in addition to anal sinus injury infection and unclean perianal skin. If your little one has the following symptoms, you need to pay attention: crying a lot during bowel movements, not eating even when feeding, fever symptoms, and pus growth next to the anus, this is a perianal abscess. Parents need to take the baby to the hospital. Otherwise, the abscess will spread and spread to the surrounding interstices, making the redness and swelling bigger and bigger, spreading to the whole perianal area, or spreading to both sides of the perianal area. If the treatment is inappropriate or incorrect, it is easy to form an anal fistula or sepsis, even endangering the life of the child. What to do when a child has a perianal abscess is a concern for many parents. Perianal abscesses in infants and children can be treated conservatively or surgically depending on the situation. However, many parents worry that their children are too young and surgery will affect the anal function and want to wait until he grows up, but this view is actually wrong. This is because if a perianal abscess is not treated in time, the abscess will spread and further aggravate the lesion, and it will turn from a minor illness into a major one. In particular, parents should be reminded not to puncture or squeeze the abscess on their own to avoid accidents such as infection. Newborns are fragile, with delicate skin and low resistance, and need the careful care of parents and family members. To prevent perianal abscess in children, you should change diapers regularly and flush the perineum with warm water frequently. Especially after a child’s bowel movement, do not wipe the anus with a rough and hard cloth or paper. Newborns and small infants are prone to diarrhea and have a lot of stools, which can easily cause buttock redness and perianal erosion. More attention should be paid to keeping the perianal area clean and dry, and anti-inflammatory ointments (such as gentamycin, erythromycin ointment, Chinese medicine Jiuhua anti-inflammatory cream, etc.) should be applied to the erosion area. If possible, it is best to use traditional cotton diapers with good breathability, which are better for the child’s health, and use as few “diapers” as possible. Keep the anus clean and dry at the same time. It is also important to regulate the diet to prevent diarrhea and constipation, and not to change formula frequently.