Blood in the stool in children
Blood in the stool mainly refers to bleeding from the small intestine and colon due to various causes.
According to the amount of bleeding, it can be classified as
1, latent blood: a little gastrointestinal bleeding, the naked eye can not see or can not tell whether it is blood in the stool, need to be determined by laboratory tests.
2, a small amount of blood in the stool: only a small amount of blood from the anus, or a small amount of blood in the underwear stained stool
3.Large amount of blood in the stool: a large amount of blood in the stool in a short period of time, bleeding more than 15% – 25% of the total blood volume of the body in 24 hours.
According to the color of bleeding can be divided into.
1 fresh blood stool: bright red color most of the bleeding close to the anal area and acute massive bleeding
2, old blood stool: dark red color mixed with blood clots, mostly far from the anus parts of the intestinal bleeding
3, jam-like blood stool: dark red color mixed with mucus, is typical of pediatric acute intussusception of blood stool
4, black stool: also known as tar-like stool, for the small intestine or stomach of slow bleeding
According to the cause of bleeding can be divided into
1, systemic diseases: such as bleeding disorders, infections, allergic purpura, vitamin K deficiency, certain drugs, etc.
2, intestinal diseases: small intestine: acute intussusception, intestinal obstruction, intestinal malformation, etc.
3.Colon: colon polyps, ulcerative colitis, tumors, etc.
4.Anus: anal fissure, internal and external hemorrhoids, perianal vascular slip, etc.
How parents treat blood in the stool.
First determine whether the blood in the stool is really blood, to exclude the red material in the stool may be caused by food with pigment, such as watermelon, tomatoes, certain drugs, etc.
Determine the nature and amount of blood in the stool. If a large amount of bloody stool appears in a short period of time, it is an acute gastrointestinal hemorrhage and should be sent to the hospital for emergency rescue treatment.
Pay attention to the symptoms that appear when there is blood in the stool. If it belongs to a systemic disease such as bleeding from a blood disorder, there is often bleeding from other parts of the body, such as bleeding from the gums, joints and skin, etc. There may also be bleeding from the usual circumferential bump or joint hematoma, etc. In anal fissure, blood in the stool is caused by a small amount of blood in the stool, or blood dripping from the anus after the stool, accompanied by painful defecation, and most have a history of constipation. Most of them have a history of constipation. They can usually be cured with conservative treatment. If it is a colon polyp, it is mostly painless bloody stool. Careful parents can find scratches on the stool strips or deformation of the stool strips. Suspected intestinal polyps should do colonoscopy, not only to find the polyps and their location, but also to remove the polyps. In case of acute intussusception, the presence of jam-like stools may be accompanied by paroxysmal crying and vomiting. This situation is very critical and must go to the hospital as soon as possible, otherwise, if treatment is delayed, intestinal necrosis can occur, and even death by shock.
Parents should not panic when their children have bloody stools. In addition to the above precautions, they should keep the stool and go to the hospital together with the child so that the doctor can determine the nature of the stool and do the relevant laboratory tests in time. If there is a large amount of blood in the stool, with shock manifestations such as pale face, weak and fast pulse, confusion or agitation, seek emergency assistance from emergency vehicles and ambulance personnel.