Painful Bowel Movement

Pain during the production of a bowel movement is unusual in children. Fissures (cracks) or abscesses (pus pockets) can occur in or around the rectum, but might present with bleeding seen in the stool, or pain with sitting down as well. Hemorrhoids are uncommon in children but can cause pain in adults. Constipation may occur in CdLS and could lead to any of these problems. Physical examination should be able to detect any of these findings however none of these have been seen in a higher incidence in CdLS. An upper GI involves dye being swallowed and will not detect lower gastrointestinal problems. A barium enema involves dye being injected into the rectum, and may detect rare gastrointestinal problems lower in the GI tract

TK 7-13-10