Hirschsprung Disease

Hirschsprung disease is a genetic disorder when large intestine can not function because it has no nerve. It causes severe constipation or intestinal obstruction.

hirschsprung-disease

Normally nerve cells are found in the healthy large intestine. Constipation results in Hirschsprung disease because there is lack of nerve cells in a part or all of the large intestine. The nerve cell sends a signal to the muscles in the large intestine to push stool towards the anus. If there is no signal to push stool along, stool will remain in the large intestine.

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The severity of the disease depends on how much large intestine is affected.
If nerve cells are lacking in last part of large intestine it is called short-segment Hirschsprung disease. If nerve cells are lacking in most or all of the large intestine it is called long-segment Hirschsprung disease.

Who Are At Risk?

Males have a high tendency to develop this disorder as compared to females. The disease is diagnosed in new-born.

Causes of Hirschsprung Disease

Normally in a child before birth nerve cells grow along in the intestine in the direction of the anus.
Nerve cells of the child with Hirschsprung disease stop growing.
The reason that why the nerve cells stop growing is not known.
Hirschsprung disease is a hereditary condition.

The digested material moves through the gut by the contractions called peristalsis. These contractions are controlled by nerves that lie in between muscles of the intestine.
In this disease, the nerves are missing and prevent the contractions and results in blockage of digested food and constipation.

Hirschsprung Disease Signs and Symptoms

Symptoms in newborn –
• Explosive stool after inserting the finger into the rectum.
• Bloody diarrhea.
• Vomiting.
• Swollen abdomen, full of gas.

Symptoms in older children are:
• Passes stool only with the help of enema and laxatives.
• Swollen abdomen, full of gas.
• Slow growth.
• Anemia.
• Bloody diarrhea.

Treatment of Hirschsprung Disease

The portion of the large intestine that misses the nerves is removed by surgery. A hole in the abdomen is made and healthy part of the intestine is joined to the hole. A bag is connected to the hole; the stool that leaves the body is collected in the bag. The bag is emptied several times a day. This surgical process is called ostomy.

Ostomy may include:
• Iliostomy: the Entire colon is removed and small intestine is connected to the hole in the abdomen.
• Colostomy: A part of the colon is left behind and connected to the hole in the abdomen.

Diet/management of Hirschsprung Disease

• Increase intake of fluids.
• Include high fiber diet in meals.
• Laxatives are helpful.

Is Hirschsprung Disease Curable?

• In most cases, symptoms improve or go away after surgery.
• In some cases, constipation remains or patient experiences fecal incontinence.
• Early treatment has the good prognosis.

Complications of Hirschsprung Disease

• Infection of the intestine resulting in the swollen abdomen and foul smelling diarrhea.
• Perforation of the intestine.
• Malnourishment.
• Dehydration.

Differential diagnosis of Hirschsprung Disease

• Intestinal Motility Disorders
• Constipation
• Irritable Bowel Syndrome
• Intestinal Pseudo-obstruction
• Megacolon

Homeopathic treatment for Hirschsprung Disease

Every branch of science has its own scope and limitations, so does Homeopathy. Although Homeopathy has a lot of very good remedies for curing & controlling auto-immune disorders, male & female disorders, children and elderly people.

In cases of an emergency situation such as poisoning, serious abdominal complaints (such as acute appendicitis /pancreatitis), fractures, injury, and accidents should be treated first taken to emergency. However, a patient can consult his homeopathic physician after recovering from his initial phase. Please note Homeopathy plays no role in treating any nutritional disorders.

The scope of Homeopathy is limited; it is the sole responsibility of the physician to decide upon the cure – by looking into the complete nature of the disease, onset, and stage of the disease and then act accordingly.

Hirschsprung Disease

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