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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.

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Dr. Arti Jain
165 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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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

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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.

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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.

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Dr. Troy Reyna
392 Doctors shared insights

Constipation (Child) (Definition)

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