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Anal dilation has been observed in children with suspected chronic anal rape [ 2 ] [ 3 ] and children with chronic constipation, [ 4 ] as well as in normal children. [ 5 ] In one study, 49% of nonabused children displayed reflex anal dilation. [ 6 ] Despite the theory's misuse, and significant opposition to such use, [ 7 ] reflex anal dilatation is sometimes considered one of many symptoms observable in anally raped children [ 8 ] [ 9 ] [ 10 ] Commentary Day of Reckoning [ 11 ] "In 1986,...