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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bloody Stools In Infant With Perianal Fistula?

Hi My baby is 6 months old (7.5kg), and on his 2 months age we find he had a abscess on his butt. two weeks later we observed bloody stool of him and the problem lasted for nearly 4 months. Now the doctor fund there is perianal fistula at the same time we started to give him neocate which make his stool more clearer. But the blood test showed 10.4 hemoglobin level and very low WBC in his stool. We are worried about him although he is happy and energetic. Do you think it is possible the fistula is related with his bloody poop, if yes will it be Crohn s disease? Thank you!
Mon, 6 Oct 2014
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Pediatrician,  's  Response
Thanks for putting up your query at HealthCareMagic. I understand the cause of your concern. Let me mention that perianal fistula is most commonly associated with constipation which may be the cause of the bloody stools. It may also be associated with haemorrhoids or piles and be associated with bloody stools. Although Crohn's disease is a possibility, the chances are relatively rare. I hope that keeping the stool soft by use of fibre rich mashed and boiled semi solid diet and stool softners would be helpful (weaning should have been done at 6 months of age).

I hope that helps. Feel free to revert back with further queries if any.
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What Causes Bloody Stools In Infant With Perianal Fistula?

Thanks for putting up your query at HealthCareMagic. I understand the cause of your concern. Let me mention that perianal fistula is most commonly associated with constipation which may be the cause of the bloody stools. It may also be associated with haemorrhoids or piles and be associated with bloody stools. Although Crohn s disease is a possibility, the chances are relatively rare. I hope that keeping the stool soft by use of fibre rich mashed and boiled semi solid diet and stool softners would be helpful (weaning should have been done at 6 months of age). I hope that helps. Feel free to revert back with further queries if any.