Video

Esther’s son Kaelan has an inexplicably itchy bum, but having checked for worms, and tried all sorts of lotions and potions, Esther is at a loss. Dr Dawn takes a swab and poo sample from Kaelan and sends it off for analysis, as suspected, the results come back negative for threadworm or any other infection. So Kaelan is sent to see specialist paediatric surgeon, Ms Anouk Van Der Avoirt, who spots the problem. Kaelan has an anal fissure, a little tear which can be caused by doing a hard poo. A simple procedure is needed to correct the problem, under general anaesthetic the anus is physically stretched for 2 minutes, a laxative is prescribed to help Kaelan to do a poo. And Esther is overjoyed that a solution has finally been found!

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We just saw Dr Anouk Van Der Avoirt today!! came across this video after googling the cream she prescribed us! My son may have to have the stretching if it doesn't heal on its own. It was nice to see the video, very reassuring.





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I have just been to GP after suffering for 2 whole months, since I the itchiness resulted in small amounts of blood in my stool. The GP has requested for stool sample and a blood sample and told Me to apply vasaline before opening my bowels. However my wife Says she can see a cut above my anus and infected skin, but he told me he could see nothing. What can I do? I am still itchy and unhappy As I still have to work, and it gets uncomfortable.





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8 years ago i had an anal fistular operation since then i have been fine.then 9 months ago i developed symptoms similar pain terrible itching and stinging bad before a bowel movement.terrible itching after the bowel movement. i have been referred to see a consultant but still waiting! it is very distressing and i have now had to go ono the sick because of the pain. please whats wrong with me before i go crazy.





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Hi, my son is 9 now and has been complaining of a sore bottom since he was 4. It started off occasionally and randomly and it would appear he was in a lot of pain. It didn't appear to be connected with going to the toilet and would happen either day or night, last about a day or so and then nothing for a couple of months. We've tried numerous trips to the doctor, worm medicine, movical, and various creams. Over the years it has become more frequent and the episodes have lasted longer, although between episodes he's fine. It's really wearing me down now and I just want it to go away. When it gets it he seems very worried and uncomfortable although now he's saying it's very itchy and sore. We are using a muscle relaxant cream which the paediatrician prescribed and this seems to help but not completely. I've also tried seeing a lady who does food intolerance testing and she's suggested a yeast and cows milk intolerance. I've therefore substituted cows milk for goats and am reducing sugary foods and giving a probiotic. I really don't understand what's causing it and it feels like this is something that is never going to go away. I feel so sorry for him. Any advice would be greatly appreciated. Many thanks





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go and a doctor who is a specalist in bowles that should solve the problem

My daughter as developed little sots around her bum and on her natal cleft you get rid of one and another appears. They start of like boils but no obvious head then scab over and dry out within 3-4 days. She says there itchy and bit sore but don't generally bother her, but I can't seem to get rod of them. What are they?





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Ive had this itchy problem for about 5 or 6 years now. Ive only visited my gp about 3 or 4 times because of the embarresment. Each time I have been prescibed different ointments. At first they seem to work for about a week or so then it comes back. It absolutely drives me mad especially at night. Sometimes I scratch so much it bleeds a little. I am at my wits end. When I have visited the doctors I get the impression that this is a small problem. Believe you me its a nightmare. Every night sleepless nights waiting for the itch to start. Please what else can I do?





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Hi Esther, I hope you don't mind me personally responding to you but I have had an anal fissure for over a year now and I am so unhappy, as you can imagine. I have been to the Dr's numerous times but they are generally very unsympathetic. I have tried everything from changing my diet, excercising, drinking lots of water, ointments and other natural remedies. My tear is very large now, it seems to me like it is not going to heal but after seeing this and hearing Kaelan's story, I feel like there is hope. What I wanted to ask, is when Kaelan has his minor operation, was it simply as Miss Van der Avoirt described in the video clip? That they literally stretched his anus? I am worried about surgical procedures as I have read that they make a small tear to encourage healing? The thought of having another tear really makes me anxious and I was wondering if Kaelan was given this procedure? I hope you can give me some advice and I thank you so much for being on the programme and giving people like me hope that one day things will be better x





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Hi Kate. So sorry to hear you are suffering. If Kaelan is anything to go by I really feel for you. Miss Van der Avoirt is right in that the procedure is that simple (for Kaelan anyway). It took her a couple of minutes and all she did was simply stretch his anus with her fingers (I saw the full footage). If I were you, next time you visit your doctor I would insist you be refered. Knowing what I know now I would research specialist consultants that practice in your area I would then use your right of patient choice and tell your doctor the consultants name. From my past experience regarding Kaelan's problem, you have to tell your doctor what you want. The doctors at my local practice are great it was the failings of the consultant at my local hospital that let Kaelan down. That's why I urge you to find a specialist yourself. I hope this will be of some help to you. Esther

My daughter is almost 5 and has had the same symptoms as Kaelan. Watching the programme was like watching my own daughter and all she has been through. I have had her at the doctors many times over the years now and never once has this possibility been mentioned.She has always had problems going to the toilet and has skin tags there also. I cannot believe they never thought of this.It has had us both in tears at times with her pain and my frustration. Thank u for making me aware of this - i shall be back at the doctors with this new information this week and hope to be able to ease my daughters pain soon. Its heartbreaking to see them in so much pain and the doctors tell u to "try canestan", "try sudocrem" over and over. Anymore advice would be greatly appreciated.





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my son has had an itchy bottom on and off since he was 3 its been driving him crazy he is now 7. his stools have been tested for worms - all clear - doc have given him muscle relaxants, creams etc for it but to no avail. but no one has examine him for a fisure - im desperate for help. can you help my son. please help. its bothering him day and night and effecting him at school but he is too embarassed to say anything not sure what to do now.





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Hiya. I totally sympathize with you. My son Kaelan, was seen by our GP numerous times and then referred but we were given no answers in terms of diagnoses. All I was being told was that it was probably worms. Although after worming him twice, with no effect, we knew it had to be something else. It wasn't until we met Anouk that we finally got some answers. She knew what the problem was straight away...an anal fisure. My advise to you is to keep on at your GP and insist you be referred to investigate the possibility of a fisure. After our meeting with Anouk, Kaelan has been prescribed Xyloproct (a cream) to heal the tear and Movicol(a powder for oral solution) to keep his stools soft to avoid a reoccurence of anymore tearing. We were quite shocked to hear Kaelan had been suffering with constipation. As a family we enjoy a high fibre diet, eating plenty of fresh fruit and vegetables. According to Miss Van der Avoirt some children's digestive systems are slower than others. It's just one of those things. Kaelan is getting on really well now. His had one little tear since but no way as bad as it was before. He just has to keep up the treatment and we have to make sure he drinks plenty of water, as this can also be a cause of constipation. I hope this has been of some help to you. Good luck with getting your son treated. Regards, Esther x


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