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Hirschsprung's disease (HD or HSCR) is a birth defect in which nerves are missing from parts of the intestine. [1] [3] The most prominent symptom is constipation. [1]Other symptoms may include vomiting, abdominal pain, diarrhea and slow growth. [1]
Constipation also has neurological causes, including anismus, descending perineum syndrome, desmosis and Hirschsprung's disease. [7] In infants, Hirschsprung's disease is the most common medical disorder associated with constipation. Anismus occurs in a small minority of persons with chronic constipation or obstructed defecation. [33]
Chronic constipation; Fecal incontinence-- paradoxical overflow diarrhea as a result of liquid stool passing around the obstruction; Abdominal pain and bloating; Loss of appetite; Complications may include necrosis and ulcers of the rectal tissue, which if untreated can cause death. [citation needed]
Children have different bowel movement patterns than adults. In addition, there is a wide spectrum of normalcy when considering children's bowel habits. [1] On average, infants have 3-4 bowel movements/day, and toddlers have 2-3 bowel movements per day. At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day).
Anismus is classified as a functional defecation disorder. It is also a type of rectal outlet obstruction (a functional outlet obstruction). Where anismus causes constipation, it is an example of functional constipation. Many authors describe an "obstructed defecation syndrome", of which anismus is a cause. [24]
In the type without constipation, the feces are usually well-formed, soiling is intermittent, and feces are usually deposited in a prominent location. This form may be associated with oppositional defiant disorder (ODD) or conduct disorder , or may be the consequence of large anal insertions, or more likely due to chronic encopresis that has ...
Obstructed defecation syndrome (abbreviated as ODS, with many synonymous terms) is a major cause of functional constipation (primary constipation), [18] of which it is considered a subtype. [19] It is characterized by difficult and/or incomplete emptying of the rectum with or without an actual reduction in the number of bowel movements per week ...
The various signs and symptoms in Sheehan's syndrome are caused by damage to the pituitary, thereby causing a decrease in one or more of the hormones it normally secretes. Since the pituitary controls many glands in the endocrine system , partial or complete loss of a variety of functions may result. [ 5 ]