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Some familial cases: Disease can be familial or develop spontaneously. It is more common in boys than girlls.Approximately 3-5 % of male siblings and 1 percent of female siblings of children with short-segment disease also have the disease.Risk substantially higher (12.4-33%) in siblings of children with total colonic involvement.Eight genomes have been associated with Hirschsprung’s disease.Most cases not familial. ...Read more
Lack of nerve cells: Aganglionsis or hd is the result of failure of the bowel to relax. Peristalsis or progression of contractions of the intestine are halted wherever the rectum/colon fails to relax to allow contents to move forward. As a result, child cannot evacuate stool/gas and becomes distended, can become very sick. This can be corrected. In 75%, the bad bowel is in the rectum or just above. ...Read moreSee 2 more doctor answers
Constipation: Hirschsprung's disease is a congenital disease. You are born with it. It causes constipation and /or obstruction due to non functioning of intestinal nerves. It is treatable, but may require surgery to diagnose and treat. In some cases it is heriditary but usually it is sporadic. ...Read moreSee 1 more doctor answer
Clinical sxs: Hirschsprung’s disease (congenital megacolon) is caused by failed migration of colonic ganglion cells in utero. Varying lengths of the distal colon are unable to relax, causing functional colonic obstruction.Can vary from very short segment to entire large bowel. Obstruction noted usually in infancy, Sometimes recognition is later due to intractable constipation. ...Read moreSee 1 more doctor answer
My lady friend has hirschsprung’s disease. She was too embarassed to tell me any more. Can you explain it to me please?
Variable defect: Emptying the large intestines relies on nerves that pass a wave of sequential tightening thru circular muscles in the tubular wall and push stool forward. Hd is the name applied when these nerve cells are absent, any point from the outlet backward. Rx after recognition relies on removal of the defective section & pulling the normal down to the outlet.The type of surgery & eventual function varies. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
Depends : A lot depends upon the technique. Some surgeons will do colostomy followed by a pull through at a later date. A pull through removes the diseased colon and allows the enervated intestine to function normally. If a trans anal pull through is done, normal bowel function ocurrs in several days with advancing to normal diet and discharge home. ...Read moreSee 1 more doctor answer
Surgery: Usually presents in infancy. Biopsy is done to confirm diagnosis. Then a single stage procedure can be done if patient is stable. In some instances a staged procedure is done , where one gets a colostomy followed several months later by a pull through . The pull through excises the defective colon. ...Read moreSee 2 more doctor answers
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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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
Delayed BM in nursry: Normal newborns have a bm (stool/poop) in the first 48 hours. Failure to do so along with distended abdomen and vomiting may indicate hirschsprung's disease in which part of the colon has abnormal nerves. Biopsy of the colon makes the diagnosis. Some babies/children may be diagnosed later in which case the symptoms may be a little different (chronic constipation). A contrast enema helps diagnose. ...Read moreSee 2 more doctor answers
Hi, my nephew (3 months old) is diagnosed with hirschsprung's disease. Doctors suggested for a two stage surgery. Is that a complicated one? Pls help.
Two stages: Stage one usually brings the upper large intestine to the abdominal wall so fecal material can be diverted into a colostomy bag.The kid is then able to grow larger making the more delicate second stage repair easier to do.I remember having our general surgeons do stage one on a patient i had in a small overseas hospital while stage 2 was done back in the us. ...Read moreSee 2 more doctor answers
My son had pull through surgery for hirschsprungs 2 weeks ago. He pooped for a few days on his own and now stopped. I irrigate him once or twice a day if he looks distended. What will change this?
Surgeon if continues: Most children pass stool normally after the pull-through procedure. Children may have diarrhea for awhile., e the muscles of the anus after surgery. Some children develop constipation. Sometimes bowel obstruction can occur with fecal holdup. Sometimes stenosis can develop at anastomosis. Keep in contact with surgeon if problem persists. Eventually most normalize to regular bowel habits. ...Read moreSee 1 more doctor answer
Yes, it can be...: Since Hirschsprung's disease is an inborn defect of innervating the large bowel probably from genetic DNA defects. As a result, such defects and their related local adverse effect may affect how the patient may urinate. So, be evaluated, counseled, and managed accordingly for individual needs. How? Follow suggestion in http://formefirst.com/onLifeBasics.html. Then, you know how to work well with.. ...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 moreSee 2 more doctor answers
Seeking tips on potty training after Hirschsprung disease? little boy is 3, and the poo accidents is ALOT (+- 6 accidents daily)
Gastroenologist: I would seek out a pediatric gastroenterologist with experience in this type of case. It is difficult in younger kids but possible. The issue for these kids is a lifelong one and early training can smooth out the management for the rest of their life. ...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 moreSee 2 more doctor answers
Perhaps: Hirshsprung's disease may itself be genetic. It can also be associatedwith other genetic conditions;e.g., it occurs more commonly in down syndrome individuals. Ther may also be a positive family history of other bowel disorders. Best to see a geneticist and give a detailed family history. ...Read moreSee 2 more doctor answers
How does one perform colonoscopy in pt with duhamel procedure from hirschsprungs. Genetic mutation for fap present.?
Not too much problem: In duhamel procedure, for aganglionic colon ( hirschsprung's disease) distal aganglionic colon is anatomosed to proximal ganglionic ( good ) colon side by side anastomosis excessive distal colon will be crushed, shold not be a problem to do endoscopy. ...Read moreSee 1 more doctor answer
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