Conversation: The conversation between human and AI assistant.
[|Human|] sir! my son having age 22months and weight 7kg has a colostomy case from birth.his elemination system was naturally close.the doctor said we wil do his three operations.in first operation,the doctor made a hole on his abdomen,and he excretes his waste from that but when we went for second operation,doctor said in these cases mostly excretion does not becomes naturally plz help.
[|AI|]  Hi madam, your baby is either got hirschsprung disease or anal amnesia which both can cause the bowel to obstruct, some surgeons do a 3-step procedure which includes an urgent colostomy to decompress the bowel, and when the baby has an appropriate weight and can Handel the second surgery the bowel is anastomoses or reconnected again, and time is needed for this step to function well, and colostomy is left in place to watch for any complications of the procedure, when the child is ready and bowel movements occur through anus then colostomy is removed. I hope this helps