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What disease is it when a 3.5 year old child has bloody stools?

Dear doctor, my baby is 3.5 years old. Last night, after urinating, I used tissue paper to wipe him and saw blood streaks in his anus. The next day, when I went to the toilet, I saw a 7-8cm section of red stool, the other sections were normal yellow. The stool was soft and formed. In the red stool, I saw small blood threads. Doctor, what is wrong with my baby?

Báo Đồng NaiBáo Đồng Nai17/04/2025

(Mr. Hoang Nghiep, residing in Vinh An town, Vinh Cuu district)

Doctor replied:

Hello!

With the symptoms of your 3.5 year old child as you described, it is highly likely that your child is having one of the following problems:

Mild anal fissure (due to constipation or large stools): This is the most common cause in young children. When the baby strains to defecate, if the stool is large or hard, it can cause a slight tear in the anal skin. Common signs: bright red blood on toilet paper or on the surface of the stool, pain when defecating.

Intestinal infection: Caused by bacteria or viruses. When infected, there may be streaks of blood and mucus. The baby may have abdominal pain, discomfort, and loss of appetite.

Colon and rectal polyps: Polyps are small, benign masses in the intestines. Typical symptoms: bright red blood mixed in or on the stool, without diarrhea or abdominal pain.

With the above condition, you should observe for another 1-2 days to see if the baby is still bleeding? See if the nature of the stool has changed such as bloody mucus, loose stools or constipation? If so, you should take your child to a hospital with a pediatric department such as Dong Nai Children's Hospital or Au Co Hospital for timely examination and treatment!

Friendly!

Specialist Doctor 2 Nguyen Van Suu,

Deputy Medical Director, Head of Pediatrics Department, Au Co Hospital

Source: https://baodongnai.com.vn/alo--bac-si-oi/202504/be-35-tuoi-di-cau-ra-mau-la-benh-gi-ebd7323/


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