Rectal disorders in infants and children are not uncommon, and at one time or another every physician or surgeon will be consulted concerning them. In the infant and in the child rectal disturbances will often be manifested by signs and symptoms elsewhere, such as restlessness, irritability, temper, loss of weight, loss of appetite or even convulsions. The child will not direct attention to the terminal part of the bowel, and the lesion may remain unrecognized unless some obvious sign, such as bleeding or protrusion, is observed.
There may be little in the past history or in the history of the present illness to direct the examiner's attention to a rectal disturbance. One can say at the outset that a deliberate examination of the anorectum and the sigmoid might in many cases reveal a lesion hitherto unsuspected. A careful and thorough digital examination supplemented by inspection under direct vision of the
DANIELS EA. RECTAL DISORDERS IN CHILDHOOD. Am J Dis Child. 1937;54(3):573–589. doi:10.1001/archpedi.1937.01980030117008