I have a 4 year old that has blood in her stools. She has had constipation problems in the past. Her stool is light colored with blood specks in it. She is not a big eater, but not under nourished. She is going through fussy stage where she only wants macaroni and cheese or mashed potatoes. She likes to eat prunes and usually drinks some water, but prefers milk. She says it hurts a little.
Should we be concerned?
Thank you for your question. 4 year olds can be very difficult to feed! No amount of persuasion will make them eat a balanced diet, but you need to keep offering one. Maybe make deals like one bite of everything before you're excused or have dessert, etc. Macaroni and cheese, prunes and milk are good, but she needs some veggies, meats, fresh fruits and juices. You didn't say if her stools are hard when you see the blood or not. Certainly very hard stools can cause some fine tearing of the rectal mucosa and you would see red streaks. If the prunes were causing intestinal irritation, the bleeding would be from higher up the intestinal track and the blood would appear black or very dark brown. Your daughter should be seen by her pediatrician as there are literallly hundreds of causes of bleeding. He will look for any rectal fissures, rashes, hemorroids, or lesions, as well as any other cause of bleeding.
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