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Doctor insights on: Does Hirschsprung Disease Cause Failure To Thrive

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What's hirschsprung disease?

What's hirschsprung disease?

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

Dr. Arti Jain
166 Doctors shared insights

Failure To Thrive (Definition)

Poor weight and height growth often less than 5%le for age. Failure to thrive is undernutrition that can be due to inadequate intake and/or inadequate absorption of nutrients. Here is an excellent article that describes in more ...Read more


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What is hirschsprung disease?

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

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What are the tests for hirschsprung disease?

What are the tests for hirschsprung disease?

Xrays: The initial test would be a low segment barium enema which evaluates the calibre and anatomy of the colon. If this test is suggestive then a rectal biopsy is required and is the gold standard. ...Read more

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What are the symptoms of hirschsprung disease?

What are the symptoms of hirschsprung disease?

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

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What is a hirschsprung disease, and how to you get it?

What is a hirschsprung disease, and how to you get it?

Congenital anomaly: Hirschsprung disease is a congenital anomaly of the large intestine that results in difficulty passing stool. It is treated with an operation. ...Read more

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What is hirschsprung disease and what are the major symptoms?

What is hirschsprung disease and what are the major symptoms?

Constipation: Hirschsprung's is being born with lack of certain nerves (nerves that cause relaxation) in the intestine. When these nerves are missing the affected portion of the intestine/colon cannot relax, therefore obstruction results. ...Read more

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What is the definition or description of: Hirschsprung disease?

What is the definition or description of: Hirschsprung disease?

Hirschsprung disease: Affects the colon- missing ganglion or nerve cells- colon unable to function properly resulting in severe constipation. ...Read more

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How will having hirschsprung disease mess up my health later in life?

How will having hirschsprung disease mess up my health later in life?

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

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Are there proven ways to help prevent hirschsprung disease?

Congenital condition: Congenital problem with lack of ganglion cells in portions of the large bowel. Sometimes inherited in some families. There is no way to prevent condition. Therapy is with surgery. ...Read more

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My daughter has hirschsprung disease. How will this affect her?

Depends: Most children treated surgically for hirschsprung's will do well and live a normal life. A lot depends on the length of colon/intestine involved. ...Read more

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What is a cure for hirschsprung disease?

Surgery: Treatment is resection of segment of bowel missing ganglion cells, innervation of bowel. Most of time recognized in infancy. Sometimes have colostomy until get somewhat older for definitive surgery. After resection eventual pull through of normal segment at anus. ...Read more

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Is hirschsprung disease dangerous to an infant?

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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What can I do if hirschsprung disease runs in the family?

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

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Does anyone know of hirschsprung disease support groups or sites?

Yes: There are several. You can google hirschsprung's disease and you will be surprised. ...Read more

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Treatment for hirschsprung disease?

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

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How long does bad breath associated with hirschsprung disease last?

How long does bad breath associated with hirschsprung disease last?

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

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What are the diagnostic tests for hirschsprung disease post transanal endorectal?

What are the diagnostic tests for hirschsprung disease post transanal endorectal?

Rectal suction biops: Rectal suction biopsy can be diagnostic. If indeterminate you need a full thickness biopsy ...Read more

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How long does vomiting associated with hirschsprung disease last?

Depends: Once the obstruction from the hirschsprung's disease is relieved vomiting or normal bowel function should resume in 2-3 days. ...Read more

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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

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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.

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

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How long does abdominal distension associated with hirschsprung disease last?

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

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How long does baby stool frequency associated with hirschsprung disease last?

Depends: It would depend on timing of definitive corrective surgery, antibiotic usage and resumption of normal diet. ...Read more

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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?

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

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My daughter has hirschsprung disease. All day her poop smells like vomit. Should I be worried?

My daughter has hirschsprung disease. All day her poop smells like vomit. Should I be worried?

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

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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?

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?

Don't worry, do have: Your child's pediatrician assess for causes of abdominal pain to formulate a treatment plan. Whether it is from functional constipation or some other cause, diagnosis will drive treatment. ...Read more

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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

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What can cause "failure to thrive syndrome" in children?

What can cause "failure to thrive syndrome" in children?

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

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Can you tell me of any online resources for failure to thrive or growth disorder in infants?

Can you tell me of any online resources for failure to thrive or growth disorder in infants?

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

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What sort of disorder is failure to thrive in a child?

What sort of disorder is failure to thrive in a child?

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

Dr. Troy Reyna
404 Doctors shared insights

Constipation (Child) (Definition)

The difficulty passing stool or infrequent stools. ...Read more