Isham A., 3

3years old Isham is the 3rd child of 4 children he lives with his parents. His father is a laundry man who works for someone to manage the shop. His mother is a petty trader, she sells groundnut in small quantity just although to keep her busy. Isham likes to play football and enjoys going on errands for his parents. He is a happy child and full of lifeand loved by his family members abd the community he lives in. His story is inspiring as despite his ailment he can still be seen playing and supporting his younger sister do little things she cannot do on her own. The child was observed to delay in passing stool when he was still little. The parents thought it was because he was still sucking breast milk so it was not enough to produce stool so they ignored it. By the time his mother discontinued breast milk and started eating semi solid food it was fully observed that within a month the child could stool once or twice. This became a source of concern for the parents so the took yhe child to BDTH and the hospital ran series of investigations after some time they went on strike so they could not continue the process. The parents then took the child to 44 Army Reference Hospital but could not continue the treatment because the hospital wanted them to run the previous investigations again before they can proceed. The family opted out because they did not have the money to start over again. While they were on their way out they were met with someone who saw the child's condition, heard their story and told them about Helpster Charity so they found their way to the hospital. At Epsilon, the diagnosis was confirmed as Hirschsprung's Disease and needs surgical correction by a Pediatric Surgeon.

Ahmed Isham Mohammed, a 3-year-old boy, was managed for Hirschsprung’s disease which was confirmed by histology and supported by barium enema findings. Before surgery he was admitted for twice daily rectal washouts to relieve abdominal distention and had pre-op labs including FBC, U/E/Cr, and blood grouped for 1 unit. He successfully underwent a trans-anal pull-through under general anesthesia on 11/1/2026 and tolerated the procedure well. He made significant recovery, is now passing stool optimally with no further abdominal distention, and was discharged from clinic after his 3-month post-op visit doing well.

Isham is suffering from Hirschsprung's disease which impacts children negatively by causing severe constipation, abdominal swelling, and feeding issues due to missing nerve cells in the large intestine, leading to blocked stool; if untreated, it can cause life-threatening enterocolitis, malnutrition, and growth delays. Following a trans-anal pull-through surgery, patients can expect significant improvement in their condition. While some individuals may experience complications such as persistent constipation, incontinence, or recurrent episodes of enterocolitis, the overall prognosis is favorable. With time, the majority of patients can anticipate stabilization and improvement in their symptoms, ultimately leading to a better quality of life.