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July 20, 2008 SEARCH drSpock 
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Dr. Lynn Cates
Specializing in pediatric infectious diseases and childhood immunizations.
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Anal Dimple in an Infant
QUESTION
Dear Dr. Cates,
My son was born with a cleft above his anus. It is about 1/2" long and 1/3" deep. Is there cause for concern?

— Worried Mom

ANSWER
July 22, 2002
Dear Worried Mom,
What you are describing is often called an "anal dimple." Usually there is nothing to worry about, but sometimes it indicates that the spinal bones (also known as vertebral bodies or vertebrae) underneath it may not have closed completely, a condition known as spina bifida occulta. Most babies with this condition are completely normal, but to be on the safe side, you should ask your son's healthcare provider to check it out at his next visit.

— by Lynn Cates, M.D., F.A.A.P.

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