One year old child with hard stools and pain while defecating since 4 days.. Today presented with hemorrhoids like projection. Kindly Confirm diagnosis and its treatment .

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Dx : ANAL PROLAPSE DUE TO HARD STOOLS . R/O : HYPOTHYROIDISM. WORK UP : TSH, T4, T3.. CUE. RX ; LACTULOSE SYRUP ADMINISTRATION, FOR THE RELIFE OF CONSTIPATION. CORRECT THE DIET BY ADDING FIBER. SUFFICIENT WATER.

Anal fissure with prolapse rectum Investigations TSH HYPOTHYROIDISM RULE OUT HIRSHPRUNG S RECTAL MANOMETRY TREATMENT DIET HIGH FIBER DECREASED MILK INTAKE LOX GELLY

Can it be external hemorroid ?
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This is anterior anal fissure,projection is sentinel tag,advise warm sitz bath and laxatives

? PERIANAL SWELLINGS.. PROLAPSE.. DUE TO HARD STOOLS.. NEED'S.. STOOL SOFTENERS.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. SURGEONS OPINION..

Peri anal excoriation which causes pain.projection may be rectal prolaps

Sir what will be the treatment.
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A sentinile tag generally forms in chronic condition a hood like structure due recurrent fissure...here 4 days history...hemorrhoid position ant?....is it a rectal polyp..

Advice high roughage die, plenty of water, and thank od ld cream.

Sentinel tag fissure treat with annovate gel laxative decrease milk and increase cereals

Fissure in ano Sentinel pile Xylocaine oint Lactulose orally Plenty of water. High fiber diet

Fissure with sentinal pile.

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