The medical treatment of Hirschsprug by Dr. Bharat Pothuri.
Dr. Pothuri takes the step-by-step approach:
History and Physical Exam Medical History.
He examines the history of the birth of your child, bowel-movements, family history of Hirschsprung disease and other genetic vulnerabilities. He gives a close examination of the abdomen looking at distension and tenderness.
Abdominal Imaging
- Plain abdominal X-ray or ultrasound to determine stool accumulation, megacolon or air-fluid levels.
- Contrast (barium) enema to describe the colon, with a view of a transition zone between normal and aganglionic bowel.
Rectal Suction Biopsy
A small tissue specimen of the rectal wall is made to rule out the presence of ganglionic (nerve) cells in microscope the gold standard of diagnosing Hirschsprung disease under the microscope.
Advanced Testing (if needed)
In some instances, anorectal manometry is to be applied and assess muscle reflexes in the rectum and exclude any other motility disorders.
Frequently Asked Questions
What is Hirschsprung disease?
It is an intestinal defect whereby nerve cells are deprived of a portion of the colon thus obstructing the passage of stool.
What is the prevalence of Hirschsprung disease?
Its prevalence is estimated to be 1 out of every 5,000 births and is less prevalent in girls than in boys.
What are the tests that are used to diagnose Hirschsprung disease?
Diagnosis Diagnosis includes a rectal suction biopsy, contrast (barium) enema, as well as imaging including X-ray or ultrasound.
Is Hirschsprung disease muscular in adults?
Yes. Mild exhibitions can be shown later in life because of constipation chronicity or abdominal pain.
Are surgical treatments absent?
In light ones, changes in diet (high in fiber or fluids), regular activities and stool softeners or laxatives may suffice.
What is the time taken to recover after surgery?
The majority of the patients leave the hospital within a couple of days after the surgery and resume normal functioning within a few weeks.
Is insurance applicable in Houston?
Many plans do. The support of the verification of the benefit and pre-authorization is conducted with the help of our team at GastroDoxs.