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Hirschsprung's Disease
Hirschsprung's disease, a congenital disorder affecting nerve cells in the colon, leads to severe constipation and abdominal pain in infants and children. Dr. Scott at GastroDoxs provides expert diagnosis, personalized treatment options, and minimally invasive surgical care for Houston families.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Gene changes (mutations)
Family history of the condition
Related disorders like Down syndrome
More common in boys than girls
Signs and Symptoms
Long-lasting constipation
Belly swelling or bloating
Vomiting, especially in newborns
Trouble gaining weight
Explosive diarrhea after a blockage clears
How Dr. Scott Diagnoses Hirschsprung's Disease?
Dr. Scott uses a step-by-step approach:
Medical History and Abdominal Exam
He reviews your child's birth history, feeding and stooling patterns, family history, and checks the abdomen for distension or tenderness.
Imaging Studies (Contrast Enema)
An X-ray study with contrast dye highlights the transition zone between healthy and aganglionic bowel, pinpointing areas of narrowing.
Rectal Biopsy
A small sample of rectal tissue is taken under anesthesia to look for the absence of ganglion cells. This is the gold-standard test for confirming Hirschsprung's disease.
Treatment
Our Team offers a full range of care for Hirschsprung's disease.
1. Lifestyle and Diet Tips
Drink more water and eat fiber-rich foods
Gentle belly massage to help stool move
Schedule regular bathroom time after meals
2. Medications
Stool softeners or gentle laxatives to ease constipation
Botox injections in select cases to relax the rectal muscles
3. Minimally Invasive or Surgical Procedures
Pull-Through Surgery (Laparoscopic): Remove the aganglionic segment and reconnect healthy bowel
Transanal Pull-Through: Performed entirely through the rectum without abdominal incisions
Colostomy or Ileostomy: Temporary diversion for severe cases prior to definitive surgery
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What are the signs of Hirschsprung's disease?
Babies may have no stool in the first days after birth, chronic constipation, belly swelling or bloating, vomiting, and poor weight gain.
Can it be managed without surgery?
Diet changes, laxatives, and bowel management can ease symptoms, but surgery is the only definitive cure.
Is surgery safe for children?
Yes. Modern pull-through and minimally invasive techniques are very safe, with less pain and faster recovery.
Why does it cause constipation?
Missing nerve cells in a segment of the colon prevent the muscles from moving stool forward, leading to a blockage.
What's recovery like after surgery?
Most children return to normal eating and activities within 2-4 weeks. Dr. Scott provides detailed follow-up and dietary guidance.
Can adults have Hirschsprung's disease?
Yes, though it's rare. Some individuals with lifelong constipation are diagnosed later in adolescence or adulthood.
Will insurance cover this?
Most insurance plans cover evaluation and surgery. Our team will verify your benefits and help with preauthorization.
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