Hirschsprung's disease history and symptoms: Difference between revisions
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{{CMG}}} ; {{AE}} {{ADG}} | {{CMG}}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Hirschsprung's disease is commonly diagnosed within the neonatal period. The cardinal symptoms of Hirschsprung's disease include | Hirschsprung's disease is commonly diagnosed within the neonatal period. The cardinal symptoms of Hirschsprung's disease include [[abdominal distension]], delayed passage of [[meconium]] (not passed until 24-48 hours after birth), and [[vomiting]].<ref name="pmid28601177">{{cite journal |vauthors=Stanescu AL, Liszewski MC, Lee EY, Phillips GS |title=Neonatal Gastrointestinal Emergencies: Step-by-Step Approach |journal=Radiol. Clin. North Am. |volume=55 |issue=4 |pages=717–739 |year=2017 |pmid=28601177 |doi=10.1016/j.rcl.2017.02.010 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref> | ||
==History== | ==History== | ||
*Delayed passage of [[meconium]] (not passed until 24-48 hours after birth). | *Delayed passage of [[meconium]] (not passed until 24-48 hours after birth). | ||
*Ninety-four percent of Hirschsprung's disease cases are diagnosed before the patient reaches 5 years of age. | *Ninety-four percent of Hirschsprung's disease cases are diagnosed before the patient reaches 5 years of age. | ||
*History of longstanding recurrent constipation relieved by laxatives. | *History of longstanding recurrent [[constipation]] relieved by [[laxatives]]. | ||
*History of progressive abdominal distention, colicky pain or acute intestinal obstruction.<ref name="pmid3726979">{{cite journal |vauthors=Guderian R, Vargas J |title=Duffy blood group distribution and the incidence of malaria in Ecuador |journal=Trans. R. Soc. Trop. Med. Hyg. |volume=80 |issue=1 |pages=162–3 |year=1986 |pmid=3726979 |doi= |url=}}</ref> | *History of progressive [[abdominal distention]], colicky pain, or acute [[intestinal obstruction]].<ref name="pmid3726979">{{cite journal |vauthors=Guderian R, Vargas J |title=Duffy blood group distribution and the incidence of malaria in Ecuador |journal=Trans. R. Soc. Trop. Med. Hyg. |volume=80 |issue=1 |pages=162–3 |year=1986 |pmid=3726979 |doi= |url=}}</ref> | ||
==Symptoms== | ==Symptoms== | ||
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*Hirschsprung's disease is uncommon in adolescence. | *Hirschsprung's disease is uncommon in adolescence. | ||
*It appears as an ultra short segment disease. | *It appears as an ultra short segment disease. | ||
*Presents as a long-standing [[constipation]] requiring frequent laxatives. | *Presents as a long-standing [[constipation]] requiring frequent [[laxatives]]. | ||
*Other symptoms may include: | *Other symptoms may include: | ||
**Fecal [[incontinence]] | **Fecal [[incontinence]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]} ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Hirschsprung's disease is commonly diagnosed within the neonatal period. The cardinal symptoms of Hirschsprung's disease include abdominal distension, delayed passage of meconium (not passed until 24-48 hours after birth), and vomiting.[1][2]
History
- Delayed passage of meconium (not passed until 24-48 hours after birth).
- Ninety-four percent of Hirschsprung's disease cases are diagnosed before the patient reaches 5 years of age.
- History of longstanding recurrent constipation relieved by laxatives.
- History of progressive abdominal distention, colicky pain, or acute intestinal obstruction.[3]
Symptoms
The cardinal symptoms of Hirschsprung's disease include:
Other common symptoms that can be observed in patients with Hirschsprung's disease include:
- Constipation
- Malabsorption
- Poor weight gain
- Slow growth (0-5 years child)
- Watery diarrhea
Adult Hirschsprung's disease
- Hirschsprung's disease is uncommon in adolescence.
- It appears as an ultra short segment disease.
- Presents as a long-standing constipation requiring frequent laxatives.
- Other symptoms may include:
References
- ↑ Stanescu AL, Liszewski MC, Lee EY, Phillips GS (2017). "Neonatal Gastrointestinal Emergencies: Step-by-Step Approach". Radiol. Clin. North Am. 55 (4): 717–739. doi:10.1016/j.rcl.2017.02.010. PMID 28601177.
- ↑ Das K, Mohanty S (2017). "Hirschsprung Disease - Current Diagnosis and Management". Indian J Pediatr. doi:10.1007/s12098-017-2371-8. PMID 28600660.
- ↑ Guderian R, Vargas J (1986). "Duffy blood group distribution and the incidence of malaria in Ecuador". Trans. R. Soc. Trop. Med. Hyg. 80 (1): 162–3. PMID 3726979.