A condition of Hirschsprung’s (HIRSH-sproongz) disease affects the large intestine (colon) and causes problems with passing stool. As a result of missing nerve cells in the baby’s colon muscles, the condition is present at birth (congenital).
Usually after birth a newborn having Hirschsprung’s disease can’t have a bowel movement in the days. Until later in childhood, the condition might not be detected in mild cases. Uncommonly in adults, Hirschsprung’s disease is first diagnosed.
The treatment is removal of the colon’s diseased part or surgery to bypass.
In the United States, there are many centers from which you can get Hrischsprung’s disease’s treatment in an effective way. However, you will need to travel from your home to get the treatment done. This treatment is usually covered by insurance plans but travel expenses are not covered. You will need to plan for this.
Also, There are number of charitable bodies who are available if you are unable to meet travel expenses.
If you already know where you will be going for Hirschsprung’s disease treatment , or a consult or second opinion, click here to plan your travel. Otherwise, click here to get information about facilities that specialize in Hirschsprung’s disease treatment.
If you cannot afford travel for medical treatment, please consult our directory of charitable organizations that can help arrange no-cost transportation for you.
For more information: (links to the sections below)
- About Hirschsprung’s Disease
- Where to go for Hirschsprung’s Disease?
- How Hirschsprung’s Disease treatment/procedure is done?
- Risks Associated with Hirschsprung’s Disease
- Who can go for Hirschsprung’s Disease Treatment?
About Hirschsprung’s Disease
Hirschsprung disease is a birth defect in which nerve cells at the end of a child’s bowel are missing. Normally, the bowel contains many nerve cells that control how the bowel works all along its length. The bowel does not work well when it is missing nerve cells. This damage blocks the bowel because the stool does not normally move through the bowel.
Most often, the areas of the rectum and the sigmoid colon are missing the nerve cells. However, some children, for the entire colon or part of the small intestine, are missing the nerve cells.
- In short-segment Hirschsprung disease, nerve cells from the last part of the large intestine are missing.
- In long-segment Hirschsprung disease, nerve cells from most or all of the large intestine and sometimes the last part of the small intestine are missing.
- Rarely, nerve cells in the entire large and small intestine are missing.
In a child with Hirschsprung disease, until the stool reaches the part lacking nerve cells it moves through the bowel. The stool at that point, moves slowly or stops.
Where to go for Hirschsprung’s Disease?
Numerous places are there in the US where travelling is probable for Glaucoma operation. In these centers, with both patients and their loved ones, competent experts work closely. From the initial assessments to completion and follow up care, these professionals make the patient and their loved ones walk.
Here are some Miedical facilities that offer treatment for Hirschsprung’s Disease:
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There’ll be an examination performance and interrogations from your child’s doctor about your child’s bowel movements. One or more of the following tests might be recommended by him or her towards diagnosis or ruling out Hirschsprung’s disease:
- Abdominal X-ray Using a Contrast Dye:Through a special tube, Barium or another contrast dye is placed into the bowel, inserted in the rectum. The barium creates a clear silhouette of the colon and rectum by filling and coats the lining of the bowel.
Between the narrow section of bowel without nerves and the normal but often swollen section of bowel behind it, a clear contrast will often be shown by the X-ray.
- Measuring Muscles’ Control Around the Rectum:Typically, on older children and adults, a manometry test is done. Inside the rectum, a balloon is inflated by the doctor. The surrounding muscle as a result, ought to relax. If it doesn’t, the possible cause could be the Hirschsprung’s disease.
- Removing a Sample of Colon Tissue for Testing (Biopsy):For the identification of Hirschsprung’s disease, this is the surest way. With the use of a suction device, a biopsy sample can be collected, followed by examined under a microscope towards determination whether nerve cells are missing.
How Hirschsprung’s Disease treatment/procedure is done?
- Surgery: Surgery treats Hirschsprung’s disease that bypasses the part of the colon having no nerve cells. From the inside, the lining of the colon’s diseased part is stripped away, and through the colon, the normal colon is pulled and attached to the anus. Usually, this operates through the anus and is done with the use of minimally invasive (laparoscopic) methods.
Surgery might be done in very ill children, in two steps.
First, the removal of the colon’s abnormal portion takes place and the connection of the colon’s top healthy portion of the is connected to an opening created by the surgeon in the child’s abdomen takes place. Through the opening, the stool then leaves the body into a bag attached to the end of the intestine that protrudes in the abdomen (stoma) through the hole. This allows time for healing of the colon’s lower part.
Ostomy procedures include:
- Ileostomy: The entire colon is removed by the doctor and the small intestine is connected to the stoma. Through the stoma, stool leaves the body into a bag.
- Colostomy:A part of the colon is left intact by the doctor and connected to the stoma. Stool, through the end of the large intestine, leaves the body.
Later, the doctor connects the healthy portion of the intestine after closing the stoma to the rectum or anus.
- Outcomes of the Surgery: Although some children may have diarrhea at first, most children pass stool normally after surgery.
Because children have to learn muscular coordination for passing the stool, toilet training may take longer. There is a possibility of having continued constipation, a swollen belly and stool leakage (soiling) on a long term basis.
After surgery, children continue to be at risk of enterocolitis (a bowel infection) development, especially in the first year. Be aware of the occurrence of signs and symptoms of enterocolitis. Call the doctor immediately if any of the following exist:
- Bleeding from the rectum
- Swollen abdomen
Risks Associated with Hirschsprung’s Disease
Factors increasing the risk of Hirschsprung’s disease are inclusive of the following:
- Having a Sibling with Hirschsprung’s Disease: Hirschsprung’s disease can be inherited. If you have one child who has the condition, future biological children could be at risk.
- Being Masculin: Hirschsprung’s disease is more common in males.
- Having other Inherited Conditions: Hirschsprung’s disease is associated with certain inherited conditions, such as Down syndrome and other abnormalities present at birth, such as congenital heart disease.
- Hirschsprung’s disease affected children are prone to enterocolitis, a serious intestinal infection.
- Enterocolitis is treated in the hospital with colon cleaning and antibiotics and can be life-threatening.
So, as there are many complications and risks associated with the treatment, it is advisable to get the treatment done from a good medical facility. You can search for the best facility from our directory and book it for you. You can get all the information of these facilities from our portal.
Who can go for Hirschsprung’s Disease Treatment?
In approximately one in 5,000 newborns, there is occurrence of Hirschsprung disease. At much greater risk are Children with Down syndrome and other medical problems, like the congenital heart defects. To illustrate, Hirschsprung disease is generally present in about one in 100 children with Down syndrome.
Hirschsprung disease is hereditary, or here at birth; on the other hand, symptoms may or may not be noticeable birth wise. Your chances of having more children with Hirschsprung disease are greater if you have a child with Hirschsprung disease, beyond people not having a child with Hirschsprung disease. Also, if a parent has Hirschsprung disease, they are bound to have a higher chance of their child being with Hirschsprung disease.