Hirschsprung Disease

Understanding Hirschsprung Disease

Hirschsprung disease is a rare congenital condition that affects the large intestine (colon) and causes problems with passing stool. It occurs when nerve cells (ganglion cells) are missing in parts of the intestine, leading to difficulty in bowel movements or severe constipation from birth.

Causes and Symptoms

Hirschsprung disease develops before birth, when nerve cells in the baby’s colon don’t form completely.

Common symptoms include

  • Newborns not passing stool within 48 hours after birth
  • Swollen belly and vomiting
  • Chronic constipation or gas
  • Slow growth and poor appetite
  • Watery or explosive stools after rectal exam

Diagnosis

To confirm Hirschsprung disease, doctors may recommend

  • Abdominal X-rays or barium enema test - to check bowel structure
  • Anorectal manometry - to assess muscle function
  • Rectal biopsy - to confirm absence of nerve cells

Treatment Options

The main treatment for Hirschsprung disease is surgery (Pull-Through Procedure). During this surgery, the section of the colon without nerve cells is removed, and the healthy part is connected to the anus, allowing normal bowel movements. In some cases, a temporary ostomy may be required before the final repair.

After surgery, most children can pass stool normally and live healthy, active lives, though some may need ongoing bowel management support.

Why Choose Us for Hirschsprung Disease Care

  • Expert Pediatric Surgeons and Gastro Specialists
  • Advanced diagnostic and surgical facilities
  • Comprehensive post-operative care for children
  • Multidisciplinary approach including dieticians and pediatric care staff