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Millions of children are sexually abused each year in the united states 3. In fact, 10 percent of adult men and 25 percent of adult females recall being sexually abused during their childhood, according to the american academy of pediatrics 5. Most sexual abuse victims are between the ages of 8 and 12, but younger children, including toddlers, are also victimized.   anal assault constitutes a significant proportion of all injuries resulting from childhood sexual abuse. In a recent review of 310 childhood victims of sexual abuse, abnormalities of the anus were identified in 104 children (34). Anal findings indicative of trauma are rare in children who are not examined shortly after an assault. Adams et al 20 found anal lacerations (clear evidence) in 2 of 213 (1) of legally confirmed cases of childhood sexual abuse ninety-four percent had normal or nonspecific examinations. An anal fissure is a tear in the lining of the lower rectum (anus). There may be bright red blood on the toilet paper after your child wipes. A fissure may form if your child is constipated and tries to pass a large, hard stool. It may also form if your child doesnt relax the anal muscles during a bowel movement.   an anal fissure is a small tear or crack in the lining of the anus. If you experience severe pain or bright red bleeding during or after bowel movements, you may have an anal fissure.   anal dilation with stool present venous congestion, or venous pooling, in perianal tissues class 1 normal or unrelated to abuse circle of brown pigment around shaft of penis from healed circumcision raised, dark line along penisscrotum (median raphe) class 1 not related to abuse. Vaginal cuts and tears are common and can occur when a person is removing pubic hair or engaging in sexual activity. Minor cuts or tears are generally harmless and usually heal within a few days. An anal fissure is a tear or open sore (ulcer) that develops in the lining of the large intestine, near the anus.

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