Question
There’s a black pimple on my baby’s anus, and the baby has been saying it hurts. The baby is 25 months old, has two bowel movements a day, and the stools are not dry. There was a perianal abscess before, but not this black pimple.
Answer
If this pimple is purple and slightly hard, it might be a thrombosed external hemorrhoid. It could be due to the baby straining too hard during bowel movements, causing regional subcutaneous blood vessel rupture and blood pooling under the skin. You can use a warm towel to rub it, which promotes blood circulation and helps dissolve the thrombus. You can also apply Yunnan Baiyao Hemorrhoid Ointment or Bear Bile Hemorrhoid Ointment locally. It’s best to have it checked at a regular three-level A hospital for proper treatment.