Those who find blood in or on their baby’s chair understandably are concerned about their child’s health. Even if the The reason for this is often harmless is, they should Contact your pediatrician; especially if large amounts of blood go off, blood is found repeatedly in the stool or if the child shows other symptoms of a serious underlying illness such as fever, diarrhea and / or vomiting.
This can not only help you find the cause of the bleeding, but also initiate further examinations or treatment if necessary, should there be suspicion of a serious illness.
What are the causes??
There are many Reasons for Blood in a baby’s stool. A common cause are small tears in the intestinal or anal mucosa, so-called fissures. Babies are particularly susceptible to such injuries because of their still sensitive mucous membrane, for example caused by very firm bowel movements, but even with diarrhea may occur.
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Another common reason for blood in the stool are Gastrointestinal infections. These can be viral or bacterial, for example due to Salmonella, E. Coli, Schigellen, and others. Inflammation of the young intestinal mucosa can lead to bloody diarrhea.
In such a situation be sure to contact a doctor; not only to treat the causal infection, but also to be able to recognize and treat a severe course and possible complications in good time. Because of their low body weight and their not yet fully developed immune system, babies are much more susceptible to complications such as dehydration (severe lack of fluids), as adults.
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Food intolerance, for example cow’s milk, are another possible trigger for bloody stools in babies. Up to 3% of young children suffer from cow’s milk allergy, which can lead to inflammation of the intestinal mucosa and bloody stools. Breastfeeding babies too can develop bloody stools as a result of an allergy to cow’s milk, as nursing mothers who eat milk products pass on allergy-causing proteins to the baby through their breast milk can.
Read more on the topic: Rash from milk
Another major cause of bloody stools in babies and toddlers is one telescopic indentation from a section of the intestinet along the longitudinal axis in another, which is considered by medical professionals intussusception referred to as. The child suffers from it sudden onset of colic-like pain. In the further course it can then “Raspberry jelly-like”, bloody chairs come. At the latest now urgently contacted a doctor to fix the problem quickly before permanent damage to the pinched intestinal sections.
Read more on the topic: Abdominal pain in the baby – what has it?
As useful and life-saving as vaccinations are, unfortunately it is inevitable that a few children side effects show, which can include blood in the stool. Furthermore, it came with the introduction of the Rotavirus vaccination on individual reports of cases of invagination. These occurred mainly in children who were older than the recommended vaccination at the time of vaccination. Therefore experts recommend that Rotavirus vaccination as early as possible, Ideally from the 6th week of life, to keep the risk of this complication as low as possible.
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Even a baby who is teething can develop bloody stools. The cause can be in swallowed blood lying, which emerges when the teeth break through.
In addition, many babies suffer from one during this time sore bottom, which can also bleed in severe cases and color the stool red.
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Furthermore, the time of teething also represents the time in which the baby’s food is increasingly changed, and consequently also Food intolerance against the new food can appear.
Read more on the topic: Teething in the baby
After administration of suppositories
Even after suppositories, small bleeding can occur, which can then be found on the chair.
Reason for this small injuries to the sensitive intestinal mucosa be either when the suppository is inserted or when the child tries to squeeze the suppository out.
Through breast milk?
A Allergy to proteins contained in breast milk can also lead to bloody stools in babies. Often, babies do not find an allergy to the mother’s proteins themselves, but rather to foods that they have eaten and then pass on to the baby through milk.
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To make a diagnosis, the pediatrician needs some information about you and your child. After a physical examination of the child, in which the cause of the bleeding may already be identified, further diagnostic steps can follow if necessary, such as stool tests for causing germs, blood tests or a Ultrasonic, if there is suspicion of invagination.
Ultimately, however, becomes one intolerance suspected, the diagnostic and therapeutic at the same time Dispense with the suspected trigger. If this improves the symptoms, the diagnosis can be considered as certain. If not, further diagnostic tests need to be done.
The presence of other symptoms can provide important clues as to the cause of the bloody stools.
For example, the child has Fever, diarrhea and / or vomiting, stands one Infection as the cause in the foreground.
Kick bloody, raspberry jelly-like chairs along with sudden onset of colic on, could one intussusception the cause should and should be parents therefore for Immediate visit to a child emergency room cause.
On the other hand, if the affected child (or also close relatives) have diseases such as Neurodermatitis or allergies before, this does one Food intolerance more likely to be the cause.
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Blood and mucus
The common appearance of mucus and blood in a baby’s stool is an indication of one Inflammation of the intestinal mucosa, as a result of intolerances, but also from infections can occur. The inflammatory response does not only Mucosal injuries favored, it also ensures that the intestinal mucosa produces more mucus and secretes fluid.
You can find out more about the causes of phlegm in your baby’s bowel movements at:
Slimy bowel movements in the baby – causes & therapy
Diarrhea can also be associated with blood in the stool of babies. On the one hand, diarrhea can occur through the aggressive secretions and the high volumes, that pass through the gut, Injuries to the intestinal mucosa cause which can lead to bloody stools.
On the other hand, diarrhea can also be an indication of an infection or one Food intolerance his. In any case, bloody diarrhea should be examined by a doctor, as it can indicate a serious illness and may require further diagnostic steps and treatment measures.
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- Medication for diarrhea
- Abdominal pain in the baby – what has it?
Treatment and therapy
Treatment depends on the underlying cause.
With small fissures, i.e. cracks in the mucous membrane, one can dietary changes help to regulate the baby’s bowel movements to avoid hard chairs.
at infections of the gastrointestinal tract symptomatic treatment in the foreground, that is adequate supply of liquid, to compensate for losses caused by vomiting and diarrhea. It is important to observe the child closely in order to quickly recognize a deterioration in the state of health. Besides, can regular weighing help to assess whether the child is drinking enough. If the baby is unable to absorb the required amount of fluid, inpatient treatment may be necessary, in which the child is supplied with fluid through the vein.
Should one intolerance the problem causing it is that strict waiver of the triggering food the therapy of choice.
A intussusception requires fast medical therapy in the hospital. The bowel is usually covered by a careful enema under ultrasound control turned out again. In severe cases, however, one can surgery be necessary, especially if permanent damage to the intestinal tissue has already occurred.
Duration and forecast
The prognosis for bloody stools in babies depends on the underlying disease, but is generally very good.
anal fissures for example, can be used well chair-regulating measures get under control and often adjust themselves when the child gets older and the mucous membrane becomes less sensitive.
At a infectious cause there is also one good forecast provided that the Sufficiently replaced fluid losses and there are no complications (see course of the disease). However, if the chair has not returned to normal after a week, the pediatrician should be contacted for safety.
Also at Food intolerance the baby’s bowel movements should normalize quickly after the Triggers deleted from the menu has been. In many cases it is even the case that the intolerance disappears automatically during further development and that there are no longer any problems with the consumption of the affected food in childhood or adolescence.
Even with a recognized one in time Intestinal invagination looks good and after a short surveillance in the clinic, the child can be quickly released home. However, it should be noted that it is about 20% of small patients in further development come to another invagination, so that Parents for early detection should be sensitized.
Although the prognosis for gastrointestinal infections is generally good, it can also affect babies and toddlers complicated disease losscome up.
So it can be with certain bacterial infections, for example through special ones E. coli strains, not just to massive loss of blood and fluid come, but also to one Damage to blood cells and the kidney, then what as hemolytic-uremic syndrome referred to as.
Even one that was not recognized or recognized too late intussusception can take a complicated course because the indented Sections of the intestine no longer adequately supplied with blood become and as a result can die. This represents one acute emergency represents and requires surgery as soon as possible, where the affected section of the intestine must be removed.
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