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Retrospective case note review in a paediatric forensic unit. Cases all eligible cases from1990 to 2007 alleging anal abuse. Controls all children examined anally from 1998 to 2007 with possible physical abuse or neglect with no identified concern regarding sexual abuse. The tear in the anal canal usually occurs when a child is constipated and forces a large, hard stool (bowel movement). Because of the pain, your child may not go to the bathroom when needed. An anal fissure is a tear or split in the lining of the anus (anal mucosa). The symptoms include pain and bright red blood from the anus. Self-help suggestions include switching to a high-fibre diet and drinking plenty of water. An anal fissure is a tear in the lining of the lower rectum (anus). There may be bright red blood on the toilet paper after your child wipes. A fissure may form if your child is constipated and tries to pass a large, hard stool. It may also form if your child doesnt relax the anal muscles during a bowel movement.

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