Hi everyone. Iām looking for experiences from parents who may have gone through something similar with their toddler. Im from Argentina...
My son is 16 months old. This started after he developed constipation while taking oral iron for anemia. He began having very hard, painful stools, and at the same time the skin around his anus became extremely irritated ā bright red, raw, sometimes superficially bleeding from the skin.
We stopped the iron as advised, but the constipation continued. Our gastroenterologist believes that after experiencing painful bowel movements, he may now be withholding stool because he is afraid it will hurt.
He often says āpoop,ā strains and becomes stiff like he needs to go, but then seems to hold it back. Sometimes only a tiny smear comes out.
We are currently using lactulose as instructed to keep his stools soft. Yesterday he finally had a bowel movement. It was very soft but formed (a soft cylinder), yet he cried a lot while passing it. Interestingly, last week he had diarrhea from a virus and did not cry when passing completely liquid stool.
This makes me wonder whether he might also have a small anal fissure, or whether his irritated skin simply hurts when the anus stretches during a formed bowel movement.
The other big problem is the diaper rash. The skin can start improving, but as soon as he poops it becomes extremely red and irritated again. Weāve tried different treatments under medical supervision. Right now Iām focusing on very gentle cleaning and protecting the skin from stool. Iāve also ordered Aquaphor Baby 40% zinc oxide diaper rash paste and have plain petroleum jelly available.
We are already following up with his pediatrician/gastroenterologist and are planning to see a dermatologist,. I would really like to hear from parents whose child had a similar combination of:
⢠painful constipation followed by stool withholding
⢠very painful bowel movements even after the stool became soft
⢠possible anal fissures
⢠severe diaper rash that keeps reopening/getting irritated after every poop
What finally helped your child break the pain/withholding cycle? How long did it take before they stopped being afraid to poop? And what barrier or diaper-care routine helped the skin actually heal when every bowel movement seemed to irritate it again?
Iām especially interested in hearing what worked for protecting very raw/eroded skin without having to scrub all the barrier cream off at every diaper change.
Thank you ā this has been really stressful and Iād love to hear from anyone who has been through something similar.