Doctor insights on:
Does Hirschsprung Disease Cause Failure To Thrive
Constipation: Hirschsprung's disease is one that occurs in utero. It is the failure of the large intestine to populate with the right nerve cells. The intestine has two systems. One causes contraction and one causes relaxation. This is the basis for perstalsis or the movement that propels material through our intestine. Hirschsprung's disease lacks the relaxing nerves thus colon is contracting and obstructing. ...Read more
Bowel problem: Hirschsprung is a disease of the intestine which is missing the nerves required to allow relaxation of the bowel so the stool can pass. It is disease the occurs in utero and is usualy diagnosed in the newborn or young child and can be corrected by a surgeon who specializes in pediatric surgery. ...Read more
Constipation: Inability to stool spontaneously without laxatives, suppositories or some form of rectal stimulation. Usually presents in newborn period, but can manifest latter if breast fed when infant transitions to formula or solid foods. Biopsy and barium enema are needed to make the diagnosis. Can be treated successfully with surgery. ...Read more
Possibly: In general, most patients with properly performed correction of H.D.Do extremely well with no long term impact. However, some have issues with constipation, recurrent disease, enterocolitis (inflammation of the intestine). The key is early diagnosis and treatment by pediatric surgeons experienced in the care. If, patient has very long segment disease or small bowel hd, long term prob may exist. ...Read more
Can be: Hirschsprung disease has occasionally gone un-diagnosed for a period of time & some kids have developed a severe enterocolitis & died during the illness. With diagnosis, monitoring& treatment a kid can have a realatively normal life. ...Read more
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Provide information: There are some forms of hd that occur in familities and that may be the case here. A full term child should pass meconium (first stool) within 48 hours. If not, baby should be evaluated for hd. In preemies, on 80% pass stool at 48hours so it may be less likely. Also, rarely to preemies have hd-unkonwn why. However, you must tell your doc about this history so he/she can consider this if issues a. ...Read more
Yes: There are several. You can google hirschsprung's disease and you will be surprised. ...Read more
Surgery: First hirschsprung's has to be confirmed by full thickness biopsy of the rectum. The pathology should be read by a pediatric pathologist accustomed to looking for ganglion cells. If positive then a primary pullthrough or leveling colostomy can be performed depending on the presence of colitis and the experience of the pediatric surgeon. ...Read more
GERD, ZENKERS, TEETH, G:
Commonest cause of bad breath is from teeth, gums and bacterial growth on tongue
other causes are eating foods containing garlick, onions and spices
from sinus infestion
gatro esophageal reflux and zenkers diverticulm a rare disorder
bad breath is not caused by hirschsprung disease which is diagnosed and treated in neonatal period, infancy and early childhood. ...Read more
Rectal suction biops: Rectal suction biopsy can be diagnostic. If indeterminate you need a full thickness biopsy ...Read more
Please can you advise me what to do and what are the treatment for hirschsprung disease because my daughter is very ill and we are from iraq?
Irrigations: If your child is very ill, irrigations with saline in small volumes in and out which can decompress the colon and bypass the obstruction. This is a temporizing measure. If she is sick, she needs attention. Someone diagnosed hd and should refer you to a pediatric surgeon for care. ...Read more
My son has hirschsprung disease. My wife tested neg. For cystic fibrosis. Are the two related? Should I be tested for CF? I'm 32 w/no issues.
No, not related: Hirschsprung's disease is a congenital condition that leads to absence or lower numbers of nerve cells in the large intestine that are responsible for allowing the colon muscles to function, leading to constipation or inability to pass stool. Cystic fibrosis is an inherited recessive disorder of salt transport leading to thickened secretions. If your wife is negative, no need for you to be tested ...Read more
Age of correction: Most hd is diagnosed in infants and children. If delayed, the intestine become very dilated and less functional and remains distended. Early only, regular enemas will allow the bowel to come down in size. However, it may be a sign of recurrent/retained hd or a dysfunctional anal sphincter. This should be evaluated if continues. It also can be a sign of enterocolitis. Needs evaluation. ...Read more
Was diagnosed with hirschsprung disease, had surgery & ok now.3 yrs later bowel only open once a week after massaging my tummy. Should I be worried?
Need evaluation: This may be due to loss of ganglion cells in the pullthrough, that there is still hd and the pullthrough was not at the correct level, or you have hypertonicity to the sphincter (trial of Botox in the sphincter may help). Also, it was done late in life and the remaining colon may have lost motility because it had been 'obstructed' for a long time. Definitely need to be reevaluated and rebiopsied. ...Read more
Smelly poop: In and of itself, unusual poop door is not a concern. What is her anatomy? When was her diagnosis? What surgeries has she had? Any significant bowel rejections? Is she growing and developing normally? Any associated food allergies? I would Followup with her Pediatrician or the surgeons who know her case. Hope this helps! ...Read more
Had hirschsprung disease at 2 days old. Fine after pull thru. Been complaining for stomach ache for the past 2 weeks. Should I be worried?
My son & wife tested neg for Cystic Fibrosis through screening test, not sweat test. However my son has hirschsprung disease. Should I test for CF - or it's high unlikely I have it? I'm 32. Feel fine
I wouldn't: There is no relationship between Hirschprung disease and CF. If you wand to know if you are an asymptomatic carrier of CF, the tests are available. However, you don't get to age 30 without symptoms when you have the disease and your fertility would also be diminished. If your wife is not a carrier, you can not produce babies with CF. ...Read more
Many issues: This is a descriptive term indicating an infant or child who fails to meet the parameters for age and size and weight and in fact is falling down. This is an index of problems that need explanation. Categories: child abuse, malabsorption, severe infection, chronic illness, cancer, blood dyscrasias, inherited issues. Your pediatrician should be consulted immediately to sort this out. ...Read more
The AAP revised the: Definition of Pediatric Undernutrition, or having a BMI < 5th %ile, in 2013 as "an imbalance between nutrient requirements & intake that results in cumulative deficits of energy, protein or micronutrients that may negatively affect growth, development & other relevant outcomes." See Dr. Daniel Kessler's book " Pediatric Undernutrition" & http://m.aapnews. Aappublications. Org/content/34/6/15.full. ...Read more
Could be a Problem: This is either a child whose physical growth-both height and weight are delayed well beyond age predicted values or a serious delay in emotional or intellectual development or both. This term describes a condition, but not the cause which needs looking into. Consult your pediatrician. ...Read more