{"id":1507,"date":"2020-05-05T12:37:39","date_gmt":"2020-05-05T12:37:39","guid":{"rendered":"http:\/\/www.blog.kayawell.com\/?p=1507"},"modified":"2020-05-07T09:07:30","modified_gmt":"2020-05-07T09:07:30","slug":"hirschsprungs-disease-symptoms-causes-diagnosis-and-treatment","status":"publish","type":"post","link":"https:\/\/www.kayawell.com\/blog\/hirschsprungs-disease-symptoms-causes-diagnosis-and-treatment","title":{"rendered":"Hirschsprung&#8217;s Disease- Symptoms, Causes, Diagnosis And Treatment"},"content":{"rendered":"\n<p><strong>Overview <\/strong><\/p>\n\n\n\n<p>Hirschsprung&#8217;s\ndisease (HIRSH-sproongz) is a condition that affects the large intestine\n(colon) and causes difficulties in passing the stool. The disease occurs at\nbirth (congenital) as a result of losing nerve cells in the baby&#8217;s colon\nmuscles.<\/p>\n\n\n\n<p>In the days\nafter birth, a newborn who has Hirschsprung&#8217;s disease usually cannot have a\nbowel movement. The disorder could not be detected in mild cases until later in\ninfancy. Hirschsprung&#8217;s disease is uncommonly first diagnosed in adults. <\/p>\n\n\n\n<p>The surgery\ntreatment to bypass or remove the diseased part of the colon.<\/p>\n\n\n\n<p><strong>Symptoms<\/strong><\/p>\n\n\n\n<p>Hirschsprung&#8217;s\nsigns and symptoms differ according to the severity of the disorder. Signs and\nsymptoms typically occur shortly after birth but often they are not apparent\nuntil later in life. <\/p>\n\n\n\n<p>Usually, a\nneonate&#8217;s failure to have a bowel movement within 48 hours of birth is the most\nobvious sign.<\/p>\n\n\n\n<p>&nbsp;In newborns other signs and symptoms may\ninclude:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Swollen belly<\/li><li>Vomiting, including the vomiting of a green\nor brown product<\/li><li>Constipation or gas that may cause newborn\nchaos<\/li><li>Diarrhea<\/li><\/ul>\n\n\n\n<p>In older\nchildren, signs and symptoms can include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Swollen belly<\/li><li>Chronic constipation<\/li><li>Gas<\/li><li>Failure to thrive<\/li><li>Fatigue<\/li><\/ul>\n\n\n\n<p><strong>Causes<\/strong><\/p>\n\n\n\n<p>It&#8217;s not\nclear what causes Hirschsprung&#8217;s disease. It sometimes occurs in families and\nmight, in some cases, be associated with a genetic mutation.<\/p>\n\n\n\n<p>Hirschsprung&#8217;s\ndisease occurs when colon nerve cells do not completely develop. Colon nerves\nhandle muscle contractions and push food through the intestines. Stool stays in\nthe large intestine, without the contractions.<\/p>\n\n\n\n<p><strong>Risk factors<\/strong><\/p>\n\n\n\n<p>Factors\nwhich can maximize the risk of Hirschsprung&#8217;s disease include:<\/p>\n\n\n\n<p><strong>Having a sibling who has Hirschsprung&#8217;s\ndisease:<\/strong> Hirschsprung&#8217;s disease can be inherited. Future biological children\nmay be at risk if you have one child who has the disease.<\/p>\n\n\n\n<p><strong>Being male:<\/strong> Hirschsprung&#8217;s disease is more\ncommon in males.<\/p>\n\n\n\n<p><strong>Having other inherited conditions:<\/strong>\nHirschsprung&#8217;s disease is attributed to other inherited disorders, such as Down\nsyndrome and other birth-related defects, such as congenital heart disease.<\/p>\n\n\n\n<p><strong>Complications<\/strong><\/p>\n\n\n\n<p>Children\nsuffering from Hirschsprung&#8217;s disease are vulnerable to a severe bowel\ninfection called enter colitis. Enter colitis can present life-threatening\nconditions and requires immediate treatment.<\/p>\n\n\n\n<p><strong>Diagnosis<\/strong><\/p>\n\n\n\n<p>Your child&#8217;s\ndoctor will do an evaluation and ask questions about bowel movements of your\ninfant. He or she can recommend diagnosing or rule out Hirschsprung&#8217;s disease\nby one or more of the following tests:<\/p>\n\n\n\n<p><strong>Abdominal X-ray using a contrast dye:<\/strong> Barium or\nother contrast dye is placed inside the intestine by means of a special tube\ninserted into the rectum. The barium fills and covers the bowel lining, thereby\nproviding a simple colon and rectum outline.<\/p>\n\n\n\n<p>Sometimes,\nthe X-ray reveals a strong difference between the narrow bowel section without\nnerves and the usual but sometimes swollen bowel section behind it.<\/p>\n\n\n\n<p>Measuring\ncontrol of the muscles around the rectum (anal manometry). Usually, a manometer\ntest is conducted on older children and adults. Within the rectum, the doctor\ninflates a balloon. As a result, the corresponding muscle will relax. If not,\nit may be the cause of Hirschsprung&#8217;s disease.<\/p>\n\n\n\n<p>Removing a\nsample of colon tissue for testing (biopsy). This is the surest way to\nunderstand the disease of Hirschsprung. Using a suction system, a biopsy sample\ncan be obtained, then examined under a microscope to determine whether nerve\ncells are absent.<\/p>\n\n\n\n<p><strong>Treatment<\/strong><\/p>\n\n\n\n<p>For most\ncases, Hirschsprung&#8217;s disease is surgically managed to bypass the part of the\ncolon that lacks nerve cells. This can be achieved in two ways: a pull-through\nsurgery, or ostomy surgery.<\/p>\n\n\n\n<p><strong>Pull-through surgery<\/strong><\/p>\n\n\n\n<p>The lining\nof the diseased part of the colon is stripped off in this process. The normal\nsegment is then taken from the inside via the colon, and added to the anus.\nThis is normally achieved using minimally invasive (laparoscopic) techniques\nwhich are working via the anus.<\/p>\n\n\n\n<p><strong>Ostomy surgery<\/strong><\/p>\n\n\n\n<p>The surgery\nmay be performed in two stages in children who are very sick. <\/p>\n\n\n\n<p>Firstly, the\nanomalous portion of the colon is removed and the top, healthy portion of the\ncolon is attached to an opening created by the surgeon in the abdomen of the\nchild. Then, through the crack, Stool leaves the body in a bag that sticks to\nthe end of the intestine, which protrudes through the hole in the abdomen. This\ngives them time to colon&#8217;s lower portion for healing.<\/p>\n\n\n\n<p>After the\ncolon has time to recover, another operation is performed to close the stoma\nand attach the healthy part of the intestine to the rectum or anus.<\/p>\n\n\n\n<p><strong>Results of surgery<\/strong><\/p>\n\n\n\n<p>Most kids\nare able to move stool via anus after surgery.<\/p>\n\n\n\n<p>Possible\ncomplications that may improve with time include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Diarrhea<\/li><li>Constipation<\/li><li>Leaking stool (faecal incontinence)<\/li><li>Delays in toilet training<\/li><\/ul>\n\n\n\n<p>Children may\nremain at risk of developing a bowel infection (enterocolitis) following\nsurgery, particularly during the first year. If any of the signs and symptoms\nof enterocolitis occur, call your doctor immediately, like:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Bleeding from the rectum<\/li><li>Diarrhea<\/li><li>Fever<\/li><li>Swollen abdomen<\/li><li>Vomiting<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Overview Hirschsprung&#8217;s disease (HIRSH-sproongz) is a condition that affects the large intestine (colon) and causes difficulties in passing the stool. The disease occurs at birth (congenital) as a result of losing nerve cells in the baby&#8217;s colon muscles. In the days after birth, a newborn who has Hirschsprung&#8217;s disease usually cannot have a bowel movement. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1508,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/posts\/1507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/comments?post=1507"}],"version-history":[{"count":0,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/posts\/1507\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/media\/1508"}],"wp:attachment":[{"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/media?parent=1507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/categories?post=1507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kayawell.com\/blog\/wp-json\/wp\/v2\/tags?post=1507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}