Pediatric megacolon sequelae

  Patient Question:Disease:Pediatric megacolon sequelae Description:After birth, no fetal stool, first enema to relieve abdominal distension in the local municipal hospital, no diagnosis. Later, he was diagnosed with pediatric megacolon low stenosis at the provincial people’s hospital, and his anus was dilated for three months after surgery. The child is now 10 years old and has 3-4 bowel movements, and he misses a lot of bowel movements at night when he is asleep, which brings a lot of inconvenience to his life and low quality of life.  Hope to provide help:I am fortunate to see your information on the Internet and see the positive comments from the patient’s family, which makes me see the light again and is the hope of saving my child. Let me consult you first, can this condition be cured? I hope you will take the trouble to tell me, whatever it is, I am ready to accept it. I live in a remote rural area with poor access to information, so I hope you can take this opportunity to help me with detailed answers as soon as possible, and my child and I are here to thank you on our knees!  Reply from Li Jinliang, Department of Pediatric Surgery, Second Hospital of Shandong University: There is a possibility of recurrence of megacolon, anal stenosis, damage to the anal levator muscle or sphincter, which needs to be determined by anal finger diagnosis, check barium enema, anorectal manometry, pelvic floor MR, and intra-anal ultrasonography, all of which can be treated. In the absence of the above conditions, biofeedback training can be done followed by guided home training.