Symptom Definition

• Blood-colored material mixed in with the stool, on the surface or passed separately.
• Blood in the stools is usually bright red.
• Blood from bleeding in the stomach comes out tar-black.
• Main Cause: anal fissure

See More Appropriate Topic

• If also has diarrhea, see DIARRHEA

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Call 911 Now (your child may need an ambulance)

• Fainted or too weak to stand following large blood loss

Call Your Doctor Now (night or day) If

• Your child looks or acts very sick
• Large amount of blood, blood alone without any stool or the toilet water turned red
• Tarry or black-colored stool
• Pink- or tea-colored urine
• Vomited blood
• Abdominal pain or crying also present
• Skin bruises not caused by an injury
• Age < 12 weeks

Call Your Doctor Within 24 Hours (between 9 and 4) If

• Blood in the stools, but none of the symptoms described above (probably anal fissure) (NOTE: Try to bring in a sample of the "blood" for testing)

Home Care Advice for Anal Fissure (Pending Talking with Your Doctor)

1. Definition: An anal fissure is the #1 cause of blood in stools
   
   The blood is bright red, but only a few streaks or flecks are present
   
   All the blood is on the surface of the stool or on the toilet tissue after wiping
   
   Usually follows passage of a large or hard bowel movement (BM)
   
   You may see a shallow tear at 6 or 12 o'clock on the anus
   
   
2. Warm Saline Baths: Give warm saline baths for 20 minutes 3 times per day to cleanse the area and to promote healing. Add 2 oz. of table salt or baking soda to a tub of warm water.
   
   
3. Ointments: If the anus seems irritated, apply 1% hydrocortisone ointment 3 times per day to help healing
   
   
4. High-Fiber Diet: Offer a nonconstipating diet. Increase fruits, vegetables and grains (fiber).  Reduce milk products. If CONSTIPATION is definitely the cause, see that topic.
   
   
5. Expected Course: Anal fissures usually heal up quickly with home treatment.
   
   
6. Call Your Doctor If
   
   Bleeding increases in amount
   
   The bleeding recurs > 2 times after treatment begins.
   
   Your child becomes worse or develops any of the "Call Your Doctor" symptoms

 Parent Care for Pediatric Symptoms. Copyright © 2000. Barton D. Schmitt, MD, FAAP
Revised 6/22/00

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See related topics:

• Diarrhea