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 [[abdominal distension]], delayed passage of [[meconium]] (not passed until 24-48 hours after birth), and [[vomiting]]. | 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]]. | ||
==History== | ==History== | ||
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*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]]. | *History of progressive [[abdominal distention]], colicky pain, or acute [[intestinal obstruction]]. | ||
==Symptoms== | ==Symptoms== | ||
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* [[Failure to thrive|Poor weight gain]] | * [[Failure to thrive|Poor weight gain]] | ||
* Slow growth (0-5 years child) | * Slow growth (0-5 years child) | ||
* [[Watery diarrhea]] | * [[Watery diarrhea]]<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> | ||
===Adult Hirschsprung's disease=== | ===Adult Hirschsprung's disease=== | ||
*Hirschsprung's disease is uncommon in adolescence. | *Hirschsprung's disease is uncommon in adolescence. | ||
| Line 28: | Line 28: | ||
**Fecal [[incontinence]] | **Fecal [[incontinence]] | ||
**[[Fecaloma]] | **[[Fecaloma]] | ||
**[[Abdominal distention]] | **[[Abdominal distention]]<ref name="pmid1959304">{{cite journal |vauthors=Crocker NL, Messmer JM |title=Adult Hirschsprung's disease |journal=Clin Radiol |volume=44 |issue=4 |pages=257–9 |year=1991 |pmid=1959304 |doi= |url=}}</ref><ref name="pmid2193786">{{cite journal |vauthors=Wheatley MJ, Wesley JR, Coran AG, Polley TZ |title=Hirschsprung's disease in adolescents and adults |journal=Dis. Colon Rectum |volume=33 |issue=7 |pages=622–9 |year=1990 |pmid=2193786 |doi= |url=}}</ref> | ||
==References== | ==References== | ||
Revision as of 15:10, 21 August 2017
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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.
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.
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[1][2]
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.
- ↑ Crocker NL, Messmer JM (1991). "Adult Hirschsprung's disease". Clin Radiol. 44 (4): 257–9. PMID 1959304.
- ↑ Wheatley MJ, Wesley JR, Coran AG, Polley TZ (1990). "Hirschsprung's disease in adolescents and adults". Dis. Colon Rectum. 33 (7): 622–9. PMID 2193786.