The actual fact is that you can find a lot of people who have been in the business for a long time. ……, and then glanced at the side of an innocent baby daughter, a long sigh: “Take it to play, do not delete Dad’s photos and documents ah.” I was reminded of the year in the game hall to play “Contra” by the old dad pulled up and beat up …… students (the storyteller saw the situation is not good, slipped away, oye!) You see, in addition to being a doctor, I’m also a parent, so I know exactly how parents (fathers, mothers, grandfathers, grandmothers, grandmothers, grandparents ……) feel when they bring their children to the clinic (it’s exactly the same)! The other day at the clinic, I received several parents who brought their sons to see the doctor, and when they entered the door, they spoke with some stammering: “Doctor, I want to see my son’s ……” — “Oh, I understand. “Oh, understand, is it to look at the small JJ problem?” The storyteller what storm has not seen, a look at the look to guess a 7788. — “Yes, yes, I always feel that the child foreskin is a little long, look on the phone to read the article you wrote, so come to see.” — “Well, well, young man do not hide back, come over and let me see!” (The storyteller could not help but have a “kind” smile on his face, which scared a teenage boy back several steps). …… a few minutes later, the manual separation of foreskin adhesions smooth operation is completed, the parents are relieved, with their son left. The storyteller was very pleased to think that the science fiction he had written could really help people. Okok, these days summer vacation to the work of pediatric surgery a little busy, a few days did not chatter with you, since the above mentioned the small ding ding, then talk about the small PP problem. The first thing to talk about today is “rectal prolapse” – rectal prolapse, referred to as “prolapse” (I really don’t know how this is “referred to as (I don’t know how this is “abbreviated”, the word is not even right!) Mostly seen in babies from 1 to 4 years old, less than 1 year old babies are rare, not many children older than 4 years old, so babies in this age group of parents should pay attention to listen to the lesson oh. This guest asked, specific terms do not speak, prolapse in the end what performance? Well, the storyteller will tell …… a simple introduction: at first, the child force to defecate when the anal opening appears red lumps, defecation after the “shrinkage” back; as the symptoms aggravate, may be every time the child defecation will have red lumps protruding from the anal opening, and gradually grows larger and longer. Sometimes the bowel movement is over, but the lump on the PP does not “shrink” back, and the parents have to rub it to return it. Some thin babies may have lumps protrude from the PP when they run and jump, walk, sneeze, or cry, as long as the abdominal pressure is slightly increased. The etiology of prolapse includes “congenital factors” and “acquired factors” (it’s time to explain the pathology of the anger of the people, the storyteller starts to prepare for luck ……) congenital factors mainly The baby’s pelvic tissue is not well developed, the sacral bend has not been formed, that is to say, the small baby’s waist to the PP between almost straight, when the abdominal pressure increases, the pressure directly passed, so easy to occur prolapse (this baby dad cheer ah, do not fall asleep, you see I say this without a change of breath, how you really grabbed the time to sleep over hey!) The reason for this is that the baby is not a baby. Why is it not common to see small babies within 1 year old? The baby is basically lying down, lying on his back, waiting for you to change the diaper, the child is lying down to make the effort, the abdominal pressure is not as big as when standing up ah. Congenital factors also include various sockets, cavities, ligaments, fascia in the abdominal cavity of children are relatively loose, tender, resulting in less power to fix the rectum (specific terminology not to say, anyway, said more only hypnotic effect, said the person wiping his face sad tears, I am easy to what I!) . What about acquired factors? For example, the child has whooping cough, chronic bronchitis, chronic dysentery, etc., a long cough or diarrhea, will lead to repeatedly increased abdominal pressure, a long time, it may lead to prolapse. This is something you parents should pay attention to, the vaccination must be played Oh (knock on the blackboard ah), or children cough all day long, as a parent of your heartache, children also suffer, right? Anal prolapse can be divided into three types according to the severity: Type I: when defecation or abdominal pressure increases, only the rectal mucosa prolapses outside the anus. This is a unique type of pediatric, partial prolapse is semi-annular, when the whole circumference of the prolapse is ring-shaped, bright red. The prolapsed mucosa can be retracted by itself after defecation. Type II: When defecation or abdominal pressure increases, the whole rectum prolapses in a cone shape with a concave tip. After prolapse, it needs to be pressed by hand to return. Type III: When defecation or abdominal pressure increases, the anal canal, the whole rectal canal or part of the sigmoid colon prolapse out of the anus …… This type is rare. How is prolapse treated? Children with type I prolapse are mainly treated conservatively. The first step is to remove the causes of prolapse, such as cough, diarrhea, constipation, etc. …… For children with recurrent constipation, parents can give the baby some corkage, and for severe constipation, an enema may be necessary. Develop your baby’s habit of regular bowel movements and correct bowel posture, in addition to not squatting on the potty for too long (those parents who are used to reading long novels on the toilet are out to face the wall!) The baby’s bowel movements should not be too long. For children with type II, you can put some petroleum jelly on the prolapsed intestinal tube and gently rub it back in. The child’s nutrition should be strengthened, so that as the body strengthens, the strength of the perianal muscles will increase and healing will be achieved. Most children can be cured within 5 years of age with conservative treatment. For a small number of children with severe prolapse (such as type III patients) or those under 5 years of age who are not cured by conservative treatment, it is necessary to consider sclerotherapy. The above mentioned surgery, I guess the moms and dads again worried about it, in fact, it is not necessary. However, with the economic development in recent years, malnutrition and chronic diarrhea in children have been greatly reduced, and the attention of parents to their babies has been increased as never before, so there are very few children with prolapse in clinical practice.