Hunan Daily all-media reporter Zhou Wei Correspondents Tao Yan, Li Leilei Liu Dan
"Thank you, the baby's 'red butt' has finally been cured, and I will definitely take good care of the baby in the future..." On March 23, Ms. Luo from Loudi was finally able to take the baby home, and before parting, she thanked Peng Tianshu, deputy chief physician of the four departments of proctology of the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine (Hunan Provincial Hospital of Traditional Chinese Medicine), and other medical staff.
Everyone, especially novice parents and parents, when you see this, do you feel strange - the baby's "red butt" is too common, and it can be healed by cleaning, protecting and applying medicine at home, why is this Ms. Luo "so excited"?
Don't worry, this tweet, we just came to remind you that sometimes, the baby's "red butt" will also cause big problems, you must not be careless!
I thought it was just a small boil, but I didn't expect it to be more and more "troublesome"
At the end of February this year, when Ms. Luo washed the buttocks of her baby who was only 1 month old, she found that her left buttocks were a little protruding and red, hard to the touch, and the baby cried when she touched the affected area.
"At first, I thought it was just a small boil and didn't pay attention to it, so I put ointment on the baby at home. After the drug is available, the protrusion does not dissipate, the redness and swelling are getting bigger and bigger, and the baby is crying more. Ms. Luo recalled that during that time, she was very anxious and felt very strange.
Seeing that the redness and swelling were increasing day by day, Ms. Luo did not dare to delay any longer, so she immediately sought help from the local hospital. Under the doctor's advice, on March 6, she took the baby to the Department of Proctology and Obology of the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine (Hunan Provincial Hospital of Traditional Chinese Medicine) and found Deputy Chief Physician Peng Tianshu for help.
"It's really going to be more serious if you don't come again! This is the 'red butt', which has evolved into an fistula! After a detailed examination, Peng Tianshu found that the baby's perianal redness and swelling had ruptured, a little pus had flowed out, and a cord-like substance that could be touched from the ulcer to the anus, which had developed from a perianal abscess to an fistula, and it was recommended to be immediately admitted to the hospital for surgical treatment.
"The baby's perianal abscess is generally not obvious at the beginning, only local flushing or slight protrusion, so it is easy for parents to mistake it for small boils, fire boils, etc." Hu Xiangdang, director of the four departments of anorectology of the hospital, said that many times, when the abscess has developed to fever, rupture and pus, etc., an fistula is often formed, and the treatment and prognosis are relatively troublesome. "Therefore, when the baby has a 'red butt', it is necessary to pay enough attention to it, do not treat the perianal abscess as a boil, and achieve early detection and early treatment."
Newborn babies are more likely to be "recruited", and parents must observe in time
On March 7, the medical team successfully performed fistula tagging under inhalation anesthesia combined with sacral canal block anesthesia for the baby. After the operation, he insisted on using the hospital's self-medicated compound Qianbai granules to rinse the wound and carry out a specialized dressing change after the daily stool, and finally, the baby recovered well after surgery and was able to be discharged smoothly.
Ms. Luo was still a little puzzled when she was happy, and before leaving, she planned to find a doctor to ask for an understanding.
"In fact, pediatric perianal abscess is a common anorectal disease in children, according to statistics, the incidence accounts for 10% of anorectal diseases in children, which is more common in newborns in 1-3 months, and most of them are male babies." Peng Tianshu told her that the occurrence of the disease was related to factors such as a transient increase in the level of male hormones in the newborn, diarrhea, the local immune structure was not yet developed, and improper nursing.
Peng Tianshu introduced that pediatric perianal abscess and fistula are essentially different stages of a disease, the acute stage is called perianal abscess, the child cries and restless, the crying and fusing aggravated during defecation or supine position, local redness, swelling, heat and pain around the anus, or accompanied by fever, milk rejection, etc., are common symptoms. In the long run, when repeated redness, swelling, ulceration, and pus drainage, an fistula will form.
"Therefore, when parents take care of their babies on a daily basis, they must have multiple eyes and never take it for granted." Peng Tianshu once again reminded that do not use drugs indiscriminately, and if necessary, you must seek medical attention in time to minimize the risk.
This disease is prone to recurrent attacks, and should be treated as soon as possible if possible
"So, once the baby has a perianal abscess (fistula), does it have to be operated?" Ms. Luo also asked a question for other parents.
Hu Xiangdang introduced, generally speaking, children's perianal abscess is relatively shallow, short and limited than adults, if timely incision and drainage of pus or their own rupture and discharge after treatment, symptoms can be quickly reduced, a few can heal on their own.
"However, most perianal abscesses will form an fistula after self-rupture or after incision and drainage, at this time, although the swelling and pain symptoms are quickly relieved, but the internal mouth still exists, in case of constipation, diarrhea and other irritating factors or immune capacity decline, it is easy to cause secondary infection, resulting in repeated attacks, long-lasting healing." Hu Xiangdang suggested that when the baby's perianal abscess is found, if the baby's vital signs are better, it is recommended to undergo radical surgery as soon as possible.
"In everyday life, we still have many ways to prevent it." Hu Xiangdang suggested that attention should be paid to keeping the baby's anus clean and dry, changing diapers and underwear frequently; Choose a soft tissue paper to wipe your anus after using the toilet, and insist on washing your anus after using the toilet. In addition, attention should be paid to enhancing the baby's physique, promoting its blood circulation, strengthening local disease resistance, and preventing infection; It is necessary to adjust the diet reasonably to prevent diarrhea and constipation in the baby, and do not change the infant milk powder frequently. At the same time, it is also necessary to avoid the baby sitting in the wet for a long time, resulting in cold and wet anus, causing infection, if the baby is found to be uncomfortable around the anus, you should take him to a doctor as soon as possible.