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Doctor insights on: Hirschsprung Disease

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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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Dr. Troy Reyna
272 doctors shared insights

Constipation (Child) (Definition)

Hirschsprung disease is a condition that a baby is born with, in which there are no nerve cells in the last part of the colon, resulting in blockage of stool passing (constipation) and abdominal distension. ...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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How does the doctor know if the diagnosis is hirschsprung’s disease?

How does the doctor know if the diagnosis is hirschsprung’s disease?

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 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 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

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 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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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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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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Whats 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

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