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ISSN 0973 - 0958
Constipation in Children
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Inguinal Hernia in Children
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CONSTIPATION IN CHILDREN
There are mainly 2 types of investigations
A) Barium Enema - This consists of filling the rectum with a contrast liquid - barium and looking at the large intestine. The abnormal segment will be thin and contracted, the normal segment will be dilated and is proximal to the abnormal segment.The accuracy of this method is about 75% only.
B) Full thickness Rectal Biopsy - Here, a small piece of the rectum is taken surgically and is sent for examination under the microscope to look for the Ganglion cells and nerve bundles. In cases with Hirschsprung disease, there will be no Ganglion cells and will have excess nerve bundles. This is almost 100% accurate. Once the diagnosis is confirmed, then the only answer is surgery. This may require staged surgeries , or may be done with a single stage surgery. This depends on the condition of the child, his/her state and size of the large intestine and other factors. If the exact length of the abnormal intestine is known and is excised, the results are usually uniformly good with minimal complications.
Last Updated: 27th January 2009
A) Barium Enema - This consists of filling the rectum with a contrast liquid - barium and looking at the large intestine. The abnormal segment will be thin and contracted, the normal segment will be dilated and is proximal to the abnormal segment.The accuracy of this method is about 75% only.
B) Full thickness Rectal Biopsy - Here, a small piece of the rectum is taken surgically and is sent for examination under the microscope to look for the Ganglion cells and nerve bundles. In cases with Hirschsprung disease, there will be no Ganglion cells and will have excess nerve bundles. This is almost 100% accurate. Once the diagnosis is confirmed, then the only answer is surgery. This may require staged surgeries , or may be done with a single stage surgery. This depends on the condition of the child, his/her state and size of the large intestine and other factors. If the exact length of the abnormal intestine is known and is excised, the results are usually uniformly good with minimal complications.
Last Updated: 27th January 2009
Toilet Training in Children
Parents often want to toilet train their children as soon as possible. However, do not start toilet training until both you (parents) and your child are ready. If you try to rush it you'll have more problems and toilet training will take a longer time. Usually your child is ready by the age of 18 to 24 months.
Parents often want to toilet train their children as soon as possible. However, do not start toilet training until both you (parents) and your child are ready. If you try to rush it you'll have more problems and toilet training will take a longer time. Usually your child is ready by the age of 18 to 24 months.
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