Q. What causes abdominal swelling after Hirschsprung disease operation?

Answered by
Dr. Prashant Kumar Singh
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 23, 2016 and last reviewed on: Jul 11, 2020

Hello doctor,

My son is 2 years old. He had a problem with stool passage and Hirschsprung disease. Last month, with the guidance of doctor laparoscopy and colonic biopsy were done under trans and endorectal pull-through operation. But, for the last two weeks, he is suffering from abdominal distention that is colon distention. His symptoms are vomiting (sometime blood is also coming), swelling on intestine and failure in transitional stool. Doctor said that some stool has got stuck in the intestine and we have to do surgery again. Currently he is hospitalized and antibiotics are going on. What is the problem and what we should do now? Kindly guide us.

Dr. Prashant Kumar Singh

Child Health Paediatrics Pediatric Allergy/Asthma Specialist
#

Hello,

Welcome to icliniq.com.

I have gone through the reports (attachment removed to protect patient identity) and your history as well.

  • As per the report, there is an obstruction in the intestine due to the local infection, which generally happens post surgery in some cases.
  • I would suggest you to follow up with the surgeon, who has operated your child, as he knows the case well.
  • This is a common problem in the operated cases of Hirschsprung (poor muscle movement of the intestine). So, need not worry. Just be patient and leave the decision to the doctors. Please go ahead and follow the doctors advise, your child will be alright soon.

For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician


Was this answer helpful?

 | 

Thank you doctor,

Please find the attached recent sonography report. His recent treatment includes injection Zostum 500, injection Amikacin, injection Metrogyl and syrup Cremaffin.

Dr. Prashant Kumar Singh

Child Health Paediatrics Pediatric Allergy/Asthma Specialist
#

Hello,

Welcome back to icliniq.com.

I have gone through the reports and query as well (attachment removed to protect patient identity).

  • The surgeon has started the child on the antibiotics and also he has suggested for enema, which is part of the treatment.
  • It has to be done to prevent further infection and it would be better if we give rest to the infected area that is the intestines so that it can heal faster.
  • Generally, if the child is admitted, then he might be kept nil by mouth and started on IV fluids for at least three to five days and slowly start orally.
  • If the child is not admitted, then your doctor would suggest you the diet mostly liquids. Please follow their instructions and advice.

For further doubts consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What causes stomach pain and constipation in an 18-month-old?

Query: Hi doctor, My 18 month old daughter has had problems since birth and I am desperate for a second opinion. The history is complicated trying to explain the symptoms but I will do my best. It was detected polyhydramnios in pregnancy. My daughter born at 36 weeks 4 days through emergency C-section due...  Read Full »

There is pus flowing from a wound in my leg. Why?

Query: Hello doctor, My left leg suffered from a gigantic wound. Firstly, that looked like filaria but after some time, it became yellow and full of pus. And now pus is flowing.  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask a Paediatrician Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.