Ms. Fang: My child is 8 months old, but his stool is not very smooth, and the stool is dry and hard, and there is bright red blood on the paper used to wipe his anus. I went to the hospital for a checkup and was told that it was an anal fissure. Are children also prone to anal fissures? What should I do? Answer: Someone once described a patient with anal fissure as a novice embroiderer who accidentally pricks his finger with a needle, which not only hurts but also oozes blood. Constipation, dry stool and other mechanical injuries are important reasons for the formation of anal fissures and the aggravation of painful symptoms. Before the fissure heals, most children with anal fissures are reluctant to relieve themselves even if they have the urge to defecate because they are afraid of the pain during defecation, so they reflexively form the habit of reducing the number of bowel movements. This forms a vicious cycle of constipation – fissure – constipation, which is not conducive to the eventual healing of anal fissures. Nowadays, many parents only give their children high-grade fine food, such as milk, eggs, high-class cakes, etc. Some children do not like to eat vegetables, but only like to eat fish, shrimp, crab, etc., which makes the protein intake in the diet too much, dry and alkaline stools, and the number of discharge is reduced. At the same time, many parents do not let their children develop regular bowel habits from childhood, coupled with the strong function of young children to tolerate defecation, so that the interval between each bowel movement is prolonged, also prone to constipation. In addition, too little activity and weak gastrointestinal motility in young children are not conducive to bowel movements. In addition to the daily intake of protein-rich food, the amount of vegetables should be gradually increased in the daily diet; for babies who have already added supplementary food, when adding vegetable puree, it can be fried first and then mixed into thin rice or rice flour, and be good at discovering children’s favorite vegetables and fruits. Fruits; adding some vegetable oil appropriately can also help soften the stool and promote the baby’s bowel movement; for children who love meat, you can mix chopped vegetables with minced meat to make dumplings or wonton filling for him; you should also increase the amount of exercise for your child appropriately. It is recommended to choose after breakfast or after dinner to train your toddler to defecate regularly, because the meal can reflexively strengthen intestinal peristalsis and promote bowel movement. Not talking to the child or reading or drawing during bowel movements can help train the child to have regular bowel movements. After proper treatment, most children with anal fissures can be cured. However, recurrence is not uncommon, and once the fissure becomes chronic, the effect of local conservative treatment methods is poor, so it is important to seek medical attention in a timely manner.