AH>            He may have difficulty with toileting before the call of
AH> nature is
AH> urgent, though... particularly in view of his age.  The low muscle tone
AH> which
AH> often accompanies DS can be a contributing factor as can various
AH> medications.

With Hirschsprung's, the only way you can have a BM is either when the
pressure builds up enough behind the transition zone or enemas.  We have had
to use a combination of Miralax and enemas to keep things under control.

AH>            A month or so has already gone by, and I'm 'way behind in
AH> answering
AH> my mail.  But please be assured we haven't forgotten you....  :-)

Me too.  :)  Thanks, I appreciate it.  

There is no update as of yet.  We are still doing our more agressive approach
to keep him managed and will then probably get another xray to see where we
stand.  

Hopefully, it will have gone down in size enough to perform the operation with
the least amount of bowel removed (only the section with no nerve cells)

- Mark

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