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   
      
   --- WWIVToss v.1.50    
    * Origin:  http://www.weather-station.org * Bel Air, MD -USA (1:261/1304.0)