Hirschsprung – What It Is, Causes, Symptoms and Treatment


Hirschsprung – What is it, Causes, Symptoms and Treatment that we should all know. In addition,  Hirschsprung is a condition that affects the  large intestine (colon) and causes problems with passing stools. The condition is present at birth (congenital) as a result of lack of nerve cells in  the baby’s colon muscles .

A newborn who has Hirschsprung ‘s disease  usually cannot have a bowel movement within days of birth. In mild cases, the condition may not be detected until later in childhood. Unusually, Hirschsprung ‘s disease  is diagnosed in adults.

Causes of Hirschsprung:

It is unclear what causes Hirschsprung ‘s disease . It sometimes occurs in families and may in some cases be associated with a genetic mutation. Hirschsprung ‘s disease  occurs when nerve cells in the colon  do not form completely. The nerves in the colon  control muscle contractions that move food through the bowels. Without contractions, the feces remain in the large intestine .


Hirschsprung Symptoms:

Signs and symptoms of Hirschsprung ‘s disease  vary with the severity of the condition. Usually, signs and symptoms appear shortly after birth, but sometimes are not evident until later in life. Usually the most obvious sign is a newborn’s lack of evacuation within 48 hours of birth.

Other signs and symptoms in newborns may include:

Swollen belly;

Vomiting, including vomiting of a green or brown substance;

Constipation or gas, which can make a newborn demanding;


In older children, signs and symptoms may include:

Swollen belly;

Chronic constipation ;


Failure to prosper;


Hirschsprung Treatment:


Surgery to bypass the part of the colon that has no nerve cells treats Hirschsprung ‘s disease . The lining of the diseased part of the colon is removed and the normal colon is pulled through the colon  inside and attached to the anus. This is usually done using minimally invasive (laparoscopic) methods operating through the anus.

In children who are very sick, surgery can be done in two steps.

First, the abnormal portion of the colon is removed and the healthy upper portion of the colon  is connected to an opening that the surgeon creates in the child’s abdomen. The stool then leaves the body through the opening in a pouch that attaches to the end of the intestine  that protrudes through the hole in the abdomen (stoma). This allows the lower part of the colon to heal.

Ostomy Procedures Include:

Ileostomy: The doctor removes the entire colon  and connects the small intestine to the stoma. The feces leave the body through the stoma in a bag.

Colostomy: The doctor leaves part of the colon  intact and connects it to the stoma. Stool leaves the body through the end of the large intestine .

The doctor later closes the stoma and attaches the healthy part of the intestine to the rectum or anus.


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