5 month old with Hirschsprung's

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My 5 1/2 month old grandson was diagnosed with Hirschsprung's disease when he was about a month old. He weighs 12 lbs at this time and he is having watery stools, not diarrhea. His doctor has said we are feeding him too much and his body can't absorb it. Logan was taking 7 ozs. of formula every 4 hours and now he has been cut down to 4 ozs. of mixed Pedialyte + formula every 4 hours. Our doctor says this amount will maintain his weight and help his system to get back to normal. We are supposed to feed him this way until his stools return to normal. He cries and cries after a feeding because he wants more. Has anyone else run into this problem? Has anyone ever been told to cut down on the feeding, especially for a baby who was as small as Logan is? It seems contrary to what is best for him.

6 replies

Does Logan still have his ostomy or has he had his pullthrough surgery? How much of his colon was/is affected by the HD?

He hasn't had either yet. There is about a 4 inch segment of his colon involved. We are digitally stimulating him to help with his bowel movements. He was a preemie and they are trying to wait until he weighs at last 15 lbs. He was on his way to that at 12.5 lbs when he got a virus and lost 2 lbs. Shortly after he got over the virus, the watery stools developed. Dr. Suson put him on Pedialyte plus formula, at a ratio of half to half totalling 4 ozs. every 3-4 hour feeding, trying to let his colon rest and get back to normal stools and just maintain his weight until his stools aren't watery. Then we can feed him normally again. Logan is used to 7-8 ozs per feeding. He is constantly crying because he wants more.

I am no doctor, but that does not right. I do agree with the regular feeding on a schedule. It is important that the body be on a regular sleep/eating pattern for optimal health.

My son had the same type of thing with just a few inches, but our surgeon was adamant about a colostomy first, then getting him to 20 pounds for the pull-through.

I used a program for Owen I was referred to by www.gfi.org - Preparation for Parenting and Baby transitions. I actually used it for all of my kids, but it was a God send for a kid with "issues".

Owen THRIVED after his colostomy and had his operation when he was just 4 months old as he weighed 20 pounds at that time - mostly all on breast milk. The surgeon could not believe it he was expecting to see us at 12 months and said Owen was the youngest one he performed the operation on.

Go with your gut/heart moms, that is why we have it. Get a second opinion, there are lots of different ideas. For example, the other doctors all commented that our surgeon was the most conservative, but it worked! Feel free to contact me if you want to talk more.

My son is going to be 3 on June 19th. He had the ostomy at 2 months, and pull through at 6 months. He has *never* in his life had a formed stool. They have always been soft, and his surgeons and GI docs don't seem to think that's a problem...but I have to wonder.

My son had a colostomy at 2 days old, pullthrough at 11 months. He never had regular bowel movements. Of course he had chronic constipation. He was on laxatives from the time he was 3 yrs. old, until 8 weeks ago, he is now 12 yrs. old. They quit working and now has a cecostomy. While flushing through the cecostomy his bowel movements are watery and not formed. He seems a lot hungrier. I would get a second opinion. Does he see a GI yet? Does the Dr. really know about HD?
Shannon

Yes, Logan has a good doctor. We have also been in touch with Cincinatti Children's Hospital and received a lot of info from them. At 7 months now, he weighs 13 lbs 3 ozs. His Dr. is waiting till he hits 15 lbs to do what he hopes will be a pull through. Logan is doing well with us digitally stimulating him for bowel movements. He just doesn't gain weight very quickly although solid foods are helping with that now. In fact he is doing so well I'm almost afraid for him to have the surgery. Stimulating him is really not that bad and I don't know what to expect after his surgery. Cincinatti Children's is sending us info about the different surgeries and what to expect so we are anxious to get that.

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