In Hirschsprung's Disease, all the intestines, especially the large intestine, can be affected. He presents with the complaints of swelling in the abdomen, inability to poop, and inability to pass gas. He poops mostly with warning. When he poops, he defecates with plenty of gas in an explosive manner.

Gastrointestinal system has 3 basic functions that can be described as secretion, absorption and removal of pulp. pulp; It consists of a mixture of oral food with absorption and secretion as it progresses in a rhythm. The rhythm in the digestive system consists of the contraction and relaxation of the intestinal muscles in harmony with each other. It is the rhythmic muscle movements that allow the pulp to progress. In Hirschprung's disease, although the digestive system appears to be completely normal, there is a defect or defect in the nerve development that governs the relaxation of the muscles of the intestines. For this reason, the pulp can advance to the problematic segment, but further movement cannot be achieved. As a result, it may cause complaints such as not being able to poop, constipation, swelling in the abdomen, inability to pass gas and even growth and development retardation, anemia, since nutrition will deteriorate in the long term. In the newborn case, the inability to poop on their own in the first 24 hours or the presence of pooping with warning may be the first finding.

Diagnosis:

• Diagnosis is made by the patient's clinic (pooping pattern), imaging (colon radiography), intestinal biopsy, and anal manometry to reveal the anus reflex.
• The patient's inability to poop on their own in the first 24 hours of their life may be the first symptom. It is an important complaint that there is a need for warning almost every time so that he can poop later on. The inability to poop may cause swelling in the abdomen and vomiting in the future. During the warning, exploding with copious gas and violently spraying the poop is a special form of pooping for Hirshsprung's disease. In case of not pooping with warning, constipation lasting up to 10 days may occur.
• Diarrhea specific to Hirschsprung's disease, called enterocolitis, is another finding. In the presence of enterocolitis, fever, vomiting and malodorous diarrhea are observed. In blood tests, there is no decisive feature other than the signs of infection.
• Diseased and intact intestinal segments can be separated by colon radiography.
• The normally present reflex of the anus is lost in Hirschprung's disease. The presence of the reflex can also be revealed by an examination called anal manometry.
• If the suspicion in the diagnosis has become stronger with clinical and imaging methods, a biopsy is taken from the anus entrance lastly. If nerve cells cannot be seen in the part examination, treatment planning is made.

Treatment:

• In today's conditions, the part of the intestine with nerve defect is removed and the patient is able to poop.
• Surgical treatment can be performed in one, two and three stages. The technique and stage of the surgery to be performed depends on the patient's condition and how long the disease affects the intestine.