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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this Stool Analysis Test Result Mean?

My Son Age is 21 days and his belly too tight and seems to be so big. He rarely took milk form his mother. Furthermore pass his stoll in very smalll amount and sometimes air. I consult with my child specialist. He advice me some medicine and ask for stool routine examination. Result is as follows - ----------------------------------------------------------- Physical Examination Color - Yellowish Form and Consistency - Soft Mucus - Present Blood - Nil Chemical Examination Reaction Acidic Ph- 6.5 Occult Blood - Negative Microscopic Examination Red blood cells - Not Found Pus Cells - 3-4 Ova - Not Found Parasites - Not Found Cysts - Not Found Vegetable Cells - Present (++) Undigested Starch - Present Fat droplets - Present (+) Micro Organisms - Present (+) Others - Nil -------------------------------------------------- Now Dr. Advised for - Inj Netromax 10 twice a day X 5 days LF 100 instead of breast milk Do a retention enema to rule out Hirshprung s Disease Now my 1st question is Inj Netromax 10 is safe or not because i saw in net that its has lots of side effects. My next question what is Hirshprung s Disease ? is it serious or not ? Please advice if any serious matter of concern
Tue, 31 Dec 2019
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General Surgeon,  's  Response
Hello,

* Hirschsprung's disease is a defect of nerve plexus in which there is abnormal migration of neuroendocrine cells and so there is no development of Myenteric Aurbech`s plexus involving rectum and hence there is large dilated sigmoid colon proximal to the same with distension due to loaded stool.

* Usually it is diagnosed within 2-3 days of birth as there is Squirt sign positive as the infant is unable to pass the stool and doing per rectal examination, there is gush of stool with explosive sound.

*Rectal biopsy is best measure to diagnose the Hirschsprung disease.

* Rest of the issues as malabsorption syndrome from lactose intolerace or congenital lactase deficiency has to be sorted out here through metabolic profile evaluation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does this Stool Analysis Test Result Mean?

Hello, * Hirschsprung s disease is a defect of nerve plexus in which there is abnormal migration of neuroendocrine cells and so there is no development of Myenteric Aurbech`s plexus involving rectum and hence there is large dilated sigmoid colon proximal to the same with distension due to loaded stool. * Usually it is diagnosed within 2-3 days of birth as there is Squirt sign positive as the infant is unable to pass the stool and doing per rectal examination, there is gush of stool with explosive sound. *Rectal biopsy is best measure to diagnose the Hirschsprung disease. * Rest of the issues as malabsorption syndrome from lactose intolerace or congenital lactase deficiency has to be sorted out here through metabolic profile evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel, General Surgeon