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Doctor insights on: Hirschsprung S Disease And Autism

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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

Dr. Johanna Fricke
532 Doctors shared insights

Autism Spectrum Disorder (Definition)

ASD are a spectrum of disorders of varying degrees that are characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. Autism statistics from the U.S. Centers for Disease Control and Prevention (CDC) identify around 1 in 68 American children as ...Read more


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Is hirschsprung's disease hereditary?

Is hirschsprung's disease hereditary?

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

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How to tell if I have hirschsprung's disease?

How to tell if I have hirschsprung's disease?

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 more

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My lady friend has hirschsprung’s disease. She was too embarassed to tell me any more. Can you explain it to me please?

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 more

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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

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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 is a cure for hirschsprung disease?

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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I have hirschsprung's disease. What is treatment?

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 more

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How can kawasaki's disease lead to autism symptoms?

How can kawasaki's disease lead to autism symptoms?

No known connection: I know of no evidence that kawasaki's can lead to autism. I have treated hundreds of patients with kawasaki, and none have developed autism. ...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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Are there proven ways to help prevent hirschsprung disease?

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?

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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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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What exactly is hirschsprung's disease?

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 more

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Is hirschsprung's disease inheritiable?

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 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?

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?

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?

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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Please explain what are the causes of autism and how to heal the disease?

Please explain what are the causes of autism and how to heal the disease?

Multiple causes: Most often these are individuals with a genetically based vulnerability, and inadequate biological screeening out of dietary and environmental toxins and deficiecies lead to abn in information processing and if unrecognized the indiv copig strategies lead to behavioral problems. Is need good accurate dx, then support to address information processig pbms, and diet nutritional change and support. ...Read more

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Wedo not know how to cure autism, but how do they help lessen the disease?

Therapies: Therapies such as aba (applied behavior analysis), speech therapy, occupational therapy, and physical therapy are some of the therapies which have been shown to help some of the weaknesses associated with autism. ...Read more

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How long is the recovery for the surgery to correct hirschsprung's disease?

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 more

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I was tested for autism and it came negative- what is the other disease that is similar?

I was tested for autism and it came negative- what is the other disease that is similar?

Depends: Without knowing the age of the individual tested and the name of the test used it is hard to say. " autism tests" assess the presence or absence of certain skills and behaviors. These include language, social interaction, sensory issues and sterotypical movements. At younger ages autism spectrum disorders may appear similar to other neurodevelopmental disordeers. Ask provider for clarification. ...Read more

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It seems everyone has add or autism. What happened to all the other disorders and diseases?

It seems everyone has add or autism. What happened to all the other disorders and diseases?

Publicity: Some conditions catch the media and public eye receiving an inordinate amount of attention. That is case with autism and add. Not that they are not significant problems. The other conditions are still there and just as important. ...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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Is autism associated with celiac disease?

Is autism associated with celiac disease?

No: Autism is a complex neurobiological inherited disorder that is worsened by environmental toxins. Celiac disease is a digestive disorder that prevents absorption of gluten from the diet. There is no scientific evidence the two are related. Years ago, there was a flurry of thinking that malabsorption of gluten could lead to or worsen autism. This has been disproven. ...Read more

Dr. Johanna Fricke
643 Doctors shared insights

Autism (Definition)

A neurodevelopmental disorder affecting three areas: abnormal socialization, communication, and restricted interests with repetitive patterns of behavior. It is usually detected in the first two years of life. Cause is unknown but strong evidence points to an interplay between ...Read more


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