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.
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.