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What Causes Stool Discharge While Sleeping In A Patient With Hirschsprung's Disease?

Posted on Mon, 1 Jun 2015

Question: My son is 5, he has hirschsprungs diease. He has started stooling in his sleep, they are tick paste with a XXXXXXX like texture. He has also been smearing some during the day. Any ideas as to what could cause this or what we can do to help him? He is on miralax daily aND his poops are a little runny during the day.

Answered by Dr. Arun (1 hour later)

Brief Answer:
does he have a colostomy?

Detailed Answer:
Hi
Thanks for writing to us.
I need more information.
Was he operated and does he have a colostomy?
If he is smearing through colostomy you need to cut down on miralax and consult your doctor again.
Sometimes bowel flushing may be required.
Give him plenty of liquids and oral rehydration solutions like pedialyte.
Wishing your child good health.
Regards
Dr Arun

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Arun (7 hours later)

He had hid bad bowel removed and his illeostomy and the closure of illeostomy in 2010. We left the dr last week and his answer was to get a cecostomy. I feel like there is something we are missing, I don't feel like the surgery is necessary at this time. He has had 15 inches of his large bowel removd.

Answered by Dr. Arun (1 hour later)

Brief Answer:
Hirschprungs can extend up.

Detailed Answer:
Hirschprungs can extend up and sometimes involve segment segments unaffected before.
If constipation is not present now you can wait on coecostomy.
If this is a transient viral bug it should settle in a few days.
If not consult your doctor again.
Try probiotic like saccharomyces.
Regards
Dr Arun

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar