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Hirschsprug's Disease

At GastroDoxs in Houston, Dr Bharat Pothuri provides comprehensive, expert Hirschsprung's disease care. From thorough clinical assessments and imaging to dietary guidance, medications, and minimally invasive surgery, his compassionate, family-friendly approach delivers personalized treatment for infants, children, and adults alike.

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Texas Medical Board
Harris County Medical Society
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Failure of nerve cells (ganglion cells) to form in the colon before birth
  • Family history of Hirschsprung's disease
  • Associated genetic conditions (for example, Down syndrome)
  • Higher incidence in males than females

Signs and Symptoms

  • Newborns who don't pass meconium within 48 hours of birth
  • Chronic constipation or very slow growth in infants and children
  • Abdominal swelling (distention), vomiting, or diarrhea
  • Foul-smelling, ribbon-like stools or signs of bowel obstruction

Expert Treatment for Hirschsprug's Disease by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your child's birth history, bowel- movement patterns, family history of Hirschsprung's disease and associated genetic risks. He performs a careful abdominal exam to check for distension and tenderness.

Abdominal Imaging

  • Plain abdominal X-ray or ultrasound to identify stool buildup, megacolon or air-fluid levels.
  • Contrast (barium) enema to outline the colon, showing a transition zone between normal and aganglionic bowel.

Rectal Suction Biopsy

A small tissue sample is taken from the rectal wall to confirm the absence of ganglion (nerve) cells under the microscope-the gold standard for diagnosing Hirschsprung's disease.

Advanced Testing (if needed)

In select cases, anorectal manometry is used to measure muscle reflexes in the rectum and rule out other motility disorders.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for Hirschsprung's disease.

1. Lifestyle and Diet Changes

  • Add fiber-rich foods and drink plenty of fluids
  • Maintain a regular bathroom routine
  • Monitor weight gain and growth in children

2. Medications

  • Osmotic or stimulant laxatives for mild cases
  • Stool softeners to ease bowel movements
  • Antibiotics if there is an infection

3. Minimally Invasive or Advanced Procedures

  • Transanal pull-through surgery to remove the affected colon segment
  • Laparoscopic surgery using smaller incisions for faster healing
  • Temporary colostomy in serious cases to allow the colon to heal
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

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?

It is a bowel problem where nerve cells are missing in part of the colon, blocking stool from passing normally.

How common is Hirschsprung's disease?

It occurs in about 1 in 5,000 births and is more frequent in boys than girls.

What tests diagnose Hirschsprung's disease?

Diagnosis involves a rectal suction biopsy, contrast (barium) enema, and imaging such as X-ray or ultrasound.

Can adults get Hirschsprung's disease?

Yes. Mild cases may present later in life as chronic constipation or abdominal discomfort.

Are there treatments without surgery?

For mild cases, diet changes (high fiber, fluids), regular routines, and laxatives or stool softeners may be enough.

How long is recovery after surgery?

Most patients go home within a few days post-op and gradually return to normal activities over several weeks.

Does insurance cover treatment in Houston?

Many plans do. Our team at GastroDoxs assists with benefit verification and pre-authorization.

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