My son of 1yr 8months sometimes has bleeding while passing motion. The bleeding comes sometimes in the beginning of the stool and sometimes in the end of the stool. What is the reason and what should I do for this? He cries so much and has difficulty passing motion during this time

Question

Accepted Answer

Your child is having constipation for which kindly give plenty of water to drink and fibre diet made from cereals pulses vegetables and fruits. 
Changes in diet has to be made
Specially give papaya, banana, oats, fennel seeds water pear, prune, pineapple, resins, plum as it will help in decreasing constipation.

Even after that the problem continues kindly meet your doctor for constipation medicine. 
t
it is important for you to know that the problem of constipation will improve with increasing age of the child. 
You may increase or decrease the dosage of constipation medicine if needed according to the consistency of the stool.

Accepted Answer

Bleeding during bowel movements in a young child can be concerning and uncomfortable for them. Here are some potential causes and steps you can take:

### Potential Causes:
1. **Constipation:** Hard stools can cause small tears in the anal area, known as anal fissures, leading to bleeding and pain during bowel movements.
2. **Dietary Issues:** Lack of fiber and fluids in the diet can lead to constipation.
3. **Allergies or Intolerances:** Certain food allergies or intolerances can cause digestive issues and blood in the stool.
4. **Infections:** Some infections can cause inflammation and bleeding in the gastrointestinal tract.

### Steps to Take:
1. **Consult a Pediatrician:** Given the bleeding and discomfort, it’s important to consult a pediatrician to rule out any serious conditions and get a proper diagnosis.
2. **Increase Fiber Intake:** Ensure your child’s diet includes enough fiber-rich foods such as fruits, vegetables, and whole grains to help soften stools.
3. **Hydration:** Encourage your child to drink plenty of water to help prevent constipation.
4. **Use Stool Softeners:** If recommended by a pediatrician, stool softeners can help make bowel movements easier.
5. **Monitor and Record:** Keep track of your child’s symptoms, diet, and bowel movements to provide detailed information to the pediatrician.
6. **Gentle Cleaning:** After bowel movements, gently clean the anal area with water and avoid using harsh wipes to prevent further irritation.
7. **Warm Baths:** Soaking your child in a warm bath can help soothe the anal area and reduce discomfort.

### When to Seek Immediate Medical Attention:
- **Severe Pain:** If your child is in severe pain or cannot pass stool at all.
- **Large Amounts of Blood:** If there is a significant amount of blood or if bleeding is persistent.
- **Other Symptoms:** If your child has other symptoms like fever, vomiting, or weight loss.

Consulting a pediatrician is crucial to determine the exact cause of the bleeding and to get appropriate treatment. Early intervention can help alleviate your child’s discomfort and prevent further complications.