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Related Experiment Videos

Pediatric Rectal Exam: Why, When, and How.

Susan R Orenstein1, Arnold Wald2

  • 1University of Pittsburgh School of Medicine, 303 Church Ln, Pittsburgh, PA, 15238-1063, USA. sro.pitt.edu@verizon.net.

Current Gastroenterology Reports
|January 8, 2016
PubMed
Summary
This summary is machine-generated.

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The digital rectal examination (DRE) is underutilized in pediatrics despite its broad clinical utility for various symptoms. This article reviews indications, techniques, and strategies to improve DRE performance in children.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Examination Techniques

Background:

  • The digital rectal examination (DRE) is indicated for numerous pediatric conditions but is performed infrequently.
  • Common indications include constipation, diarrhea, fecal incontinence, abdominal pain, and GI bleeding.
  • Less recognized indications involve abdominal masses, urinary, neurologic, or gynecologic symptoms, and anemia.

Purpose of the Study:

  • To summarize the rationale and clinical utility of the pediatric DRE.
  • To present the components of a complete pediatric DRE.
  • To offer suggestions for obtaining patient and parental consent and cooperation.

Main Methods:

  • Review of existing literature and clinical guidelines on pediatric DRE.
  • Discussion of common barriers to DRE performance in children.
Keywords:
AnusChildDigital rectal examPediatricPediatric rectal examRectal exam

Related Experiment Videos

  • Presentation of a standardized approach to the pediatric DRE.

    • Main Results:

    • The DRE is valuable for diagnosing various pediatric conditions, including those beyond common gastrointestinal complaints.
    • Physicians' reluctance stems from discomfort, perceived lack of utility, inadequate training, and concerns about patient/parental refusal.
    • Effective communication and a structured approach can overcome barriers to DRE performance.

    Conclusions:

    • The digital rectal examination (DRE) should be considered a crucial part of the complete physical examination for children with diverse symptoms.
    • Addressing provider concerns and improving training can increase DRE utilization.
    • Optimizing consent and cooperation strategies is essential for successful pediatric DRE.