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Anal signs of child sexual abuse: a case–control study | BMC Pediatrics | Full Text
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.
Metrics details. 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.
Reflex anal dilation RAD is the reflexive dilation of the human anus to a diameter greater than two centimeters in response to the parting of the buttocks or anal stimulation, such as brushing with a medical instrument. RAD was theorized to be a clinical marker associated with anal sexual assault in children,  and has been associated with other signs of sexual assault  but also appears in children with severe chronic constipation and those subject to invasive medical treatments of the anus. It was discredited during the trial as the sole indication of sexual abuse, determined to be considered a sign of sexual assault by a tiny minority of British doctors. From Wikipedia, the free encyclopedia.