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Anal fistula
My son is 3months old .After 1month his birth ,he had small bump on his Anus..it's look like heat boils..After consulted with pediatrician,he said it will rupture withing 4 to 5 days..but it doesn't go away..he had mild fever at the time..so I went to PS .He had given antibiotics for 5days. During the course of antibiotics, pus developed again..he has confirmed this is fistula in ano. Doctor suggested to do surgery after 6months. Recently ,we took blood test.platelets are elevated..what to do now? is this the symptoms of IBD?scopy is safe to do for this age?
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Hello, I understand your concern
Based on the history, your child likely has a condition called fistula-in-ano, which is relatively uncommon but not unheard of in infants. It often follows an earlier perianal abscess and may require surgical correction if persistent.
Elevated platelets can be a response to ongoing infection or inflammation and are not necessarily a sign of a serious systemic disease in this context.
Inflammatory Bowel Disease (IBD) is extremely rare in such young infants. A single fistula without other symptoms like poor weight gain, chronic diarrhea, blood in stools, or strong family history does not point to IBD.
Scopy (like colonoscopy) is not usually done at this age unless absolutely needed. Most pediatric surgeons or pediatric gastroenterologists reserve such tests for children with more concerning or persistent symptoms.
Next Steps
Follow up with a pediatric surgeon as advised. If the fistula persists or recurs, surgery after 6 months of age is a reasonable plan.
Ensure proper hygiene and local care to avoid further infections.
Repeat blood tests in a few weeks if there are concerns or new symptoms.
Watch for red flags: poor weight gain, persistent diarrhea, blood in stools, or failure to thrive.
Health Tips
Avoid unnecessary worry about IBD at this stage.
Ensure regular follow-ups with your pediatrician and surgeon.
If symptoms worsen or new symptoms develop, consult a pediatric gastroenterologist.
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Hi.
IBD is very very unlikely in such a small child, generally it manifests in an older age group.
Fistula in ano at 3 months is likely to be infection from deep seated crypts of Morgagni in the skin.
Next Steps
See a pediatric surgeon. If pus discharge is there, course of antibiotics is advised following pus culture.
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Dr. Prathibha Reddy
Pediatrician
12 yrs exp
Hyderabad
Colonoscopy is safe . Better go for surgery . It will relieve symptoms .
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Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
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Dr. Anjali Maini
Pediatrician
33 yrs exp
Gurgaon
Hello parent!
Fistula in ano will need close observation with a good paediatric surgeon.
What are the blood tests which were done - platelets may be raised as a part of the body’s immune response. We will need to read the other parameters and pointers to inflammation to suggest any inflammatory bowel disease. Crohn’s disease will present with other symptoms also like recurrent diarrhoea, often with blood, fever, abdominal pain, weight loss. You are right in being concerned about the cause for the fistula in ano
A colonoscopy/ sigmoidoscopy is all worth it in capable hands and should be considered in course of time if the symptoms are persistent and progressive associated with the above symptoms of Crohn’s.
If fistula in ano resolves in due course of time and is simply an isolated feature in itself and not a part of an inflammatory bowel disease, we may not be very aggressive in the investigations.
Next Steps
Please seek for conservative measures too for resolving the abscess and monitor growth
If the child is growing well, inflammatory markers in the blood are not raised significantly we not really be concerned for Crohn’s disease as of now and focus on abscess and fistula resolution
Health Tips
You need to be in close follow up with a paediatrician as we as a paediatric surgeon. Discuss openly if the fistula needs exploration. Is it involving the anal sphincter? Will it heal spontaneously upon rupture? Do you need to open the tract for it to heal? The answers will come from a paediatric surgeon.
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Dr. Shebin C E
Pediatrician
10 yrs exp
Kanyakumari
Greetings scopy is safe for baby, it's not the symptoms of IBD
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.