HIRSCHSPRUNG’S DISEASE

DEFINITION

Hirschsprung’s  disease is a rare condition that affects the large intestine (colon) and causes problems with passing stool. It occurs when nerve cells in the colon are missing , which leads to difficulty in passing stool.

CAUSES OF HIRSCHSPRUNG’S

Hirschsprung’s  disease is caused by a lack of nerve cells in the muscles  of the colon. Normally , these nerve cells control the muscles that push stool through the colon. Without these nerve cells , the muscles in the affected  part of the colon can’t move stool effectively , leading to a blockage

SYMPTOMS OF HIRSCHSPRUNG’S

The symptoms of hirschsprung’s disease vary depending on the age of the person and the extent of the condition.

In new borns symptoms include :

• Failure to pass meconium (the first stool ) within 48 hours of birth .
• Swollen abdomen
• Vomiting often green or brown
• Constipation or difficulty passing stool.

In older infants and children symptoms include :

• Chronic constipation or difficulty passing stool
• Abdominal swelling or bloating
• Diarrhea , especially if a liquid stool bypasses the blocked part of the colon
• Slow growth
• Fecal incontinence (leaking stool)

COMPLICATIONS

• Enterocolitis
• Constipation and bowel obstruction
• Bacterial overgrowth
• Failure to Thrive

Diagnosis of Hirschsprung’s disease

• Physical examinations
• Barium enema
• Anorectal manometry
• x-ray
• Biopsy

ROLE OF AYURVEDA FOR HIRSCHSPRUNG’S DISEASE

In Ayurveda  Hirschsprung’s disease refers to “pakwasayagata vata”  and “vibandha”.

• Herbal Remedies
• Triphala : (Amalaki , Bibhitaki and Haritaki ) is ayurvedic remedy for digestive issues. It helps regulate bowel movements and promotes overall digestive health.
• Licorice (yashtimadhu) : Licorice is known for its anti-inflammatory properties and is often used to soothe the digestive tract. It can help reduce inflammation in the colon and promote healing.
• Ginger : Ginger help in digestion and can alleviate symptoms like bloating and gas.
• Fennel (saunf) : Fennel seeds help relieve gas and bloating and promote healthy digestion.
• Peppermint (pudina) : peppermint is known for its calming effect on the digestive system and can help reduce spasms in the colon.

Panchakarma (Ayurvedic detoxification therapies )

• Virechana (therapeutic purgatio)
• Basti (medicated enema)

Dietary changes

• Avoid foods that are spicy , oily , packed or processed that are difficult-to-digest foods.
• Eat Fiber – rich foods to promote regular bowel movements.
• Reduced intake of concentrated sugars and sugar alternatives
• Avoid flavored milk , ice-creams , custard , yogut.

Lifestyle Modifications
stress management techniques ( yoga , meditations)

• Regular exercise
• Proper sleep