Question
A child has a fleshball in their anus, with no major symptoms, but it’s very painful during bowel movements. The fleshball comes out and then needs to be pushed back into the anus with the hand.
Answer
Firstly, question the attitude of the doctor at the Provincial Hospital. From your description, it seems that the doctor did not conduct a thorough examination, such as visual inspection and digital rectal examination. If the fleshball has a stalk, it may be considered a neoplasm on the intestinal wall and may require surgery and pathological examination. If it is hemispherical, although it cannot be ruled out that it is a neoplasm, it is more likely to be rectal prolapse. After the age of 4 in children, this condition is often self-limiting and usually resolves gradually with the growth and development of the child and the formation of the sacral curvature, with most cases healing before the age of 5 or 6. Non-surgical treatment is mainly recommended, including correcting constipation and developing good defecation habits. (Disclaimer: Online consultation does not assume any consequences)