Certified Pediatric Nurse (CPN)

What dietary recommendation is best for a child recently diagnosed with Hirschsprung's disease prior to surgery?

1. Low fiber, high calorie, high protein

2. High fiber, low calorie, low protein

3. Moderate fiber, high protein, moderate calorie

4. High fiber, high calorie, low protein

The correct answer is: Low fiber, high calorie, high protein

The best dietary recommendation for a child recently diagnosed with Hirschsprung's disease prior to surgery is a low fiber, high calorie, and high protein diet. This approach is important because Hirschsprung's disease affects the ability of the intestines to function properly, leading to difficulties in passing stool. A low-fiber diet helps minimize bowel movements, thereby reducing the risk of bowel obstruction and discomfort, which is particularly critical before surgical treatment. Additionally, a high-calorie and high-protein diet is vital during this time, as children need extra energy and protein for growth and healing, especially in preparation for upcoming surgery. Proper nutrition can support the child's overall health and help manage any nutritional deficiencies that might arise due to their condition. This dietary approach allows the child to maintain adequate nutrition while minimizing gastrointestinal complications, making it the most appropriate choice prior to surgery.