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Hirschsprug's Disease

At GastroDoxs in Cypress, our pediatric gastroenterology team offers comprehensive diagnostic and treatment services for Hirschsprung's disease, ensuring personalized care, advanced therapies, and compassionate support for local families navigating this congenital bowel disorder with cutting-edge technology and expert-led multidisciplinary approach.

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Bharat Pothuri
Symptoms

What is Hirschsprug's Disease?

Hirschsprug's Disease is a congenital condition in which nerve cells (ganglia) are missing from segments of the colon. Without these nerves, the bowel can't coordinate muscle contractions to move stool along, leading to blockage and severe constipation. It typically presents in newborns but milder cases may not be diagnosed until later in childhood or adulthood. (ICD-10 code: Q43.1)

Common Symptoms

Symptoms vary depending on age and the length of bowel involved. Common signs include:

  • No meconium passage within the first 48 hours after birth
  • Abdominal distension and bloating
  • Repeated vomiting and poor feeding in infants
  • Chronic constipation in older children and adults
  • Abdominal pain or cramping
  • Episodes of diarrhea alternating with severe constipation

Causes

Hirschsprug's Disease is primarily driven by genetic factors. Known contributors include:

  • Mutations in the RET gene or other genes involved in neural crest cell development
  • A family history of similar bowel motility disorders
  • Association with certain syndromes (e.g., Down syndrome) in a minority of cases
Treatment

Treatment Options for Hirschsprung's Disease in Cypress

Treatment includes surgical repair and postoperative bowel management:

  • Pull-through surgery: The most common procedure removes the aganglionic segment of colon and reconnects healthy bowel to the anus.
  • Temporary colostomy: In more severe cases, a colostomy or ileostomy may be created first to divert stool and allow healing.
  • Bowel management: After surgery, stool softeners, laxatives, and scheduled toileting help establish regular bowel movements.
  • Diet modifications: A balanced, fiber-rich diet and adequate hydration support healthy stool consistency and prevent constipation.
  • Diagnostic follow-up: Contrast enemas and rectal manometry are used postoperatively to assess bowel function and detect potential complications.
  • Regular gastroenterology visits: Ongoing appointments with our Cypress specialists ensure recovery is on track and care plans are adjusted as needed.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs offers expert diagnostics and effective treatment for Hirschsprung's Disease and related gastrointestinal conditions. Our Cypress team uses advanced testing-such as contrast enemas, rectal manometry, and tissue biopsies-and tailors surgical and non-surgical therapies to your needs. We guide you and your family through every step of diagnosis, treatment, and recovery with compassionate, personalized care. Book your appointment today at our Cypress clinic to start your journey toward long-term relief and improved quality of life.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is Hirschsprung's Disease?

Hirschsprung's Disease is a congenital condition where nerve cells are missing from segments of the colon, preventing normal bowel movements and causing chronic constipation, pain, and intestinal blockage.

Can this condition be inherited?

Yes. Many cases are linked to genetic mutations and can run in families. Genetic testing can sometimes help confirm a hereditary cause.

Is Hirschsprung's Disease always serious?

Severity varies. Some infants show urgent symptoms soon after birth, while others experience milder signs and may not be diagnosed until later.

How common is it?

Hirschsprung's Disease affects about one in every five thousand newborns globally.

What is the difference between Hirschsprung's Disease and Hirschsprung's syndrome?

There is no difference; "syndrome" simply refers to the collection of symptoms associated with the disease.

How do doctors diagnose it?

Diagnosis often involves a rectal exam, imaging with a contrast enema, rectal manometry, and a biopsy to confirm the absence of nerve cells.

What treatment is available?

The primary treatment is surgery-most commonly a pull-through procedure to remove the non-functional bowel segment-followed by diet adjustments and bowel management.

Can adults be diagnosed with this condition?

Yes. Although rare, milder forms of Hirschsprung's Disease can go undetected until adulthood, when chronic constipation prompts evaluation.

When should I take my child to a doctor in Cypress?

If your baby hasn't passed stool within 48 hours of birth, shows a swollen or hard belly, has green vomiting, or struggles with feeding and weight gain, seek specialist care right away.

What follow-up is needed after surgery?

Post-operative care includes regular gastroenterologist visits, a balanced diet, possible use of stool softeners, and monitoring for bowel-movement changes to prevent complications.

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