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Hirschsprung's Disease Treatment

Infections can be dangerous for a child with Hirschsprung's disease. Infection of the large and small intestines is called enterocolitis. It can happen before or after the surgery for Hirschsprung's disease treatment.
Possible signs of an infection include:
  • Fever
  • Swollen abdomen
  • Vomiting
  • Diarrhea
  • Bleeding from the rectum
  • Sluggishness.
Call your doctor immediately if your child shows any of these signs. If the problem is enterocolitis, your child may be admitted to the hospital. In the hospital, an intravenous (IV) line may be needed to keep body fluids up and to deliver antibiotics to fight the infection. The large intestine will be rinsed regularly with a mild saltwater solution until all remaining stool has been removed. The rinse may also contain antibiotics to kill bacteria.
When the child has recovered from the infection, the doctor may advise surgery. If the child has not had the pull-through surgery yet, the doctor may prepare for it by doing a colostomy or ileostomy before the child leaves the hospital. If the child has already had a pull-through operation, the doctor may correct the obstruction with surgery.
Enterocolitis can be life threatening, so watch for the signs and call your doctor immediately if they occur.
Long-Segment Hirschsprung's Disease
Sometimes, Hirschsprung's disease affects most or all of the large intestine, as well as some of the small intestine. This is called long-segment Hirschsprung's disease. Children with long-segment Hirschsprung's disease can be treated with pull-through surgery, but there is a risk of complications, such as infection, diarrhea, and diaper rash afterward. Parents need to pay close attention to their child's health. Also, since some, most, or all of the intestine is removed, drinking a lot of fluid is important.

Hirschsprung Disease

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