There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Controls: all children examined anally from to with possible physical abuse or neglect with no identified concern regarding sexual abuse. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of cases boys, 79 girls , average age Novel signs seen significantly more commonly in cases were anal fold changes, swelling and twitching.
Anal signs of child sexual abuse: a case–control study
Evaluating the Child for Sexual Abuse - American Family Physician
You have concerns. You have suspicions. But, how can you be sure? You want that definitive list. Those definitive signs and behaviors to confirm or disconfirm your worst beliefs about sexual abuse. Unfortunately, no one can do that for you — not even this article.
Evaluating the Child for Sexual Abuse
Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important.
Signs of abuse may not be apparent without an examination of the genital area. These signs include:. Rectal problems, including constipation, pain, leaking of stool, or anal injury, may be caused by physical or sexual abuse that injures the abdominal or rectal area. An injury to the vagina or rectum, or injury to the abdomen, back, or lower spine can prevent normal bowel movements.