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Expert Q&A:
Can a 4-month-old baby get hemorrhoids?

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Angela Rosas
Answered by Angela Rosas M.D.
"The most enjoyable thing for me in practicing general pediatrics is to use my professional training and my experiences as a mother to help families to improve the health of their children," says Angela Rosas. "It is a wondrous feeling to watch children heal and develop into healthy young adults, knowing that you played a small role in the process."

Angela Rosas M.D., graduated from Stanford University with a degree in human biology. She attended medical school and completed her residency in pediatrics at the University of California at San Diego. She has been a fellow in the American Academy of Pediatrics since 1991. Dr. Rosas has practiced general pediatrics for eight years in community clinics, private practice, and university hospitals. She is currently Assistant Professor of Pediatrics at the University of California at Davis Medical Center in Sacramento, California. Her clinical and research interests are breastfeeding, asthma, adolescent care, children with disabilities, child abuse and neglect, and accident prevention. Dr. Rosas has published several articles in peer-reviewed journals and contributed to various pediatric textbooks. She frequently lectures on pediatrics issues at medical conferences and for community agencies. Dr. Rosas is married to another pediatrician and has three young daughters.
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Question


Can a 4-month-old baby get hemorrhoids by pushing too hard for bowel movements?

Answer


True hemorrhoids in young infants are very rare. Hemorrhoids occur when the blood vessels around the anus become engorged from poor circulation and bulge under the strain of passing a bowel movement. Hemorrhoids start appearing in obese teens and are common in older, heavy adults and pregnant women. What is common in infants is some bluish coloration about the anus when passing a large bowel movement. This coloring may be exaggerated with excessive straining and constipation. Straining with bowel movements can also cause occasional tiny tears about the anus called fissures. The fissures may bleed slightly when passing a large bowel movement. If your baby's symptoms seem more severe, you should check with your baby's doctor. Otherwise mention it at the next well baby checkup.

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