What causes juvenile rectal polyps?

Polyps have always been a disease that people are more worried about. Although it can be treated surgically, it is a relatively harmful disease after all. Many people think that this disease is common among middle-aged and elderly people. In fact, children also suffer from this symptom in their childhood. What is the reason why children develop this disease when they are young? Let me introduce it to you!

Juvenile polyps are mainly diagnosed by a history of painless stools with a small amount of blood, and are usually a pedunculated or sessile mass with a diameter of 0.5 to 2 cm palpable on the posterior wall of the rectum, which can be confirmed by auxiliary examinations.

1. Familial polyposis coli

There may be a family history of hereditary diseases, with polyps of varying sizes distributed throughout the colon and rectum. Due to long-term chronic blood loss, there are varying degrees of anemia. Rectal digital examination can reveal polyps throughout the rectum, and the diagnosis can be made clear.

2. Anal fissure

Most of them have a history of constipation, pain in the anus during defecation, blood on the surface of the stool, which is bright red and not mixed with the stool. Sometimes blood drips from the anus after defecation, but the amount is not large. Pressing both sides of the anus with fingers to turn the anus outside, anal fissures can be seen in front and behind the midline of the anus.

3. Ulcerative colitis

It usually occurs in older children, with increased frequency of bowel movements, loose stools, and a large amount of mucus and pus in addition to blood. There is also a feeling of urgency and heaviness in the abdomen. Rectal digital examination occasionally reveals a large number of polyp-like tumors. Sigmoidoscopy reveals scattered ulcers on the wall of the rectum and sigmoid colon.

Low-positioned polyps that can be felt during digital rectal examination are generally removed manually in the outpatient clinic. That is, use your fingers to compress the polyp pedicle in the rectum, so that it is separated at the junction of the pedicle and the polyp, and generally there is not much bleeding. If the polyp is large and the pedicle is long, you can use your fingers to hook the polyp out of the anus, tie the pedicle with silk thread, and then return the polyp to the rectum and wait for it to fall off on its own. After polyp removal, the child should rest for 1 hour. If there is no further bleeding during bowel movements or rectal examination, the child can be sent home. High-positioned polyps can be removed under sigmoidoscopy or fiber colonoscopy. When the above methods cannot remove the polyps, laparotomy and bowel resection should be considered, but this is rarely necessary.

Diseases occur regardless of age. I believe you are already very clear about the reasons for rectal polyps in childhood. If your child has this condition, do not hesitate. It is very necessary to take your child to the hospital for treatment in time. Do not delay the child's illness. Caring for your children starts with the details.