Patient: On the morning of March 3, at the outpatient clinic of Nanjing Children’s Hospital, no pus could be seen at the red swelling and there was no sense of fluctuation, but the doctor squeezed the red swelling hard and pus came out of the anus, saying it was an anal fistula. The same day I was admitted to Nanjing Children’s Hospital to cut the row, drainage strips can not be inserted into the wound, the doctor squeezed the pus every day, for 3 consecutive days without pus, so no more squeezing. The company’s main business is to provide a wide range of products and services to its customers. However, 2 days later it became bigger again, and now it is even bigger than before the cut, red, hard, and does not feel volatile. Is my son already having an anal fistula? I have been taking care of him very carefully. What should I do? I would like to ask Director Lu’s advice. Last seen at: Nanjing Children’s Hospital, Nantong Hospital of Traditional Chinese Medicine, Department of Anorectal Medicine, Lu Jie
The anorectal glands are located at the junction of the anus and rectum, where the anal glands open upwards, and for various reasons (mostly related to bowel movements, diarrhea or constipation, some think that infants may have a high level of transient androgens) cause the glands to become infected and spread outward, forming an inflammatory mass that liquefies into pus, the so-called perianal abscess. so called perianal abscess. You may be worried about your baby, but perianal abscesses in infants are indeed a common occurrence, especially in male infants. The diagnosis of your baby’s perianal abscess should be clear, the treatment: when the pus has not become pus, you can use some herbal creams (the so-called “hoop around the medicine”, ask a Chinese doctor), become pus incision and drainage is the principle, now if the pus becomes pus again still so, then the incision is larger drainage will be more adequate. The baby’s situation is more likely to form an anal fistula, which is not a big thing, which is later to observe and deal with. The actual fact is that you will need to observe the local swelling, if it becomes pus should still be disposed of in time. In addition, if you are in Nanjing, the city Chinese hospital and provincial Chinese hospital anorectal department are very good, you can ask a specialist doctor to give some advice.
Patient: Thank you for your reply. The pus has come out of my son’s affected area, and I hope he can enter a stable period under my care and look forward to his self-healing.
Lu Jie, Department of Anorectal Medicine, Nantong Hospital of Traditional Chinese Medicine: Good luck for a speedy recovery
Patient: Hello Professor Lu, looking back on the past two months, my son has suffered a lot. Now he can’t feel the lump, it’s soft, but the incision scar is obvious. Is this considered healing? Do I need any more special care? I’m still taking a PP powder bath after each bowel movement
Lu Jie, Department of Anorectal Medicine, Nantong Hospital of Traditional Chinese Medicine: Observe for 6 months, no special treatment is needed now, normal life, keep local dryness is fine, PP sitz bath is not recommended.
Patient: Thank you for taking time out of your busy schedule to reply!
Lu Jie, Department of Anorectal Medicine, Nantong Hospital of Traditional Chinese Medicine: It’s okay, good luck for recovery
Patient: I hope this reply can help those anxious mothers. My son was found to have perianal abscess more than 2 months ago. He was hospitalized in Nanjing Children’s Hospital, had drainage, bought Qingliang cream from Hangzhou Hospital of Traditional Chinese Medicine, and boiled his own herbal medicine to soak his buttocks. After consulting many doctors online, I am most grateful to Dr. Lu Jie. He patiently told me about the formation process of perianal abscess and identified my confidence. As long as the mother is patient, the baby will be fine when it matures. Previously, I insisted on soaking PP powder for my son after he had a bowel movement, and I didn’t stop until he was almost 6 months old. Now there is a black mark near the anus because of the PP powder. Looking back at the process, I should listen to Dr. Lu Jie’s advice: now there is no need for special treatment, normal life, keep the local dry is fine, it is not recommended pp sitz bath. Now that my son is 13 months old, there is no problem at all. Over each greatly, are washed clean with running water, did not neglect because of the healing. In short, this problem is a test of a mother’s patience and carefulness. Thanks again Dr. Lu Jie!
Lu Jie, Department of Anorectal Medicine, Nantong Hospital of Traditional Chinese Medicine: I am happy to have some help for the child, you are welcome. Indeed looking back on each year, infant abscesses are not uncommon, and I am glad that the majority of children have healed successfully. As you said, in addition to the timely and accurate disposal of doctors, this problem is indeed also a test of patience for mothers. I’ve pulled the consultation into the classic Q&A section, and I hope it will help more troubled moms.