Cherkedo-Big tummy
Age: 9 years old
Cher Gay Do 's Story
Background and Current Status
Chugedo has had chronic constipation since birth and has never had the chance to have it properly checked. He passes stool only every 4–5 days, in small hard chunks, and is often in pain. He sometimes soils himself without noticing, which has led to teasing from other children about the smell.
In August 2026, his parents brought him to a free medical clinic in Suanpueng, Ratchaburi, organized as part of a Be Well Give Back Clinic, hoping for help. On physical examination, the volunteer medical team noted a large intra-abdominal mass, suspected to be impacted faeces. He was referred to Bangkok Hospital Hua Hin to see a surgeon.
Has seen a surgeon at Bangkok Hospital, CT whole abdomen was done- revealed Severe impacted feces in the entire colon-rectal. With this chronic history Hirsprung disease is still considered given his age.
Chugedo currently has:
Chronic constipation since birth, never previously investigated
Infrequent, painful defecation (every 4–5 days) with occasional soiling
A large palpable intra-abdominal mass, suspected impacted faeces
CT findings consistent with severe faecal impaction; Hirschsprung disease suspected
Pending biopsy and further specialist testing to confirm diagnosis
Diagnosis & Condition
Chronic constipation since birth with severe faecal impaction, confirmed on CT whole abdomen at Bangkok Hospital Hua Hin. Hirschsprung disease is suspected as the underlying cause. Without proper diagnosis and treatment, Chugedo faces ongoing pain, social stigma from soiling, and risk of worsening bowel complications.
Treatment Plan
Plan of Care
Diagnostic Workup: Outpatient surgical consultation and X-ray at Bangkok Hospital Hua Hin (6 September 2026); CT whole abdomen confirmed severe impacted faeces.
Further Testing Needed: Anorectal manometry and/or colonoscopy with rectal biopsy to establish a definitive diagnosis of Hirschsprung disease.
Treatment Pathway: Surgical treatment to follow once diagnosis is confirmed.
Foundation Role: Cordinate with a good surgeon for diagnosis establishment and proper treatment plan, cost estimation, fundraising and full support on his treatment.
Coordinate with hospital for further investigations and, if confirmed, surgical scheduling.
Support family with transportation and continuity of care.
Medical Journey
Timeline
August 2026: Identified at Be Well Give Back Clinic, Suanpueng, Ratchaburi — large intra-abdominal mass noted on exam.
6 September 2026: Surgical consultation and CT whole abdomen at Bangkok Hospital Hua Hin — severe faecal impaction confirmed, Hirschsprung disease suspected.
Next steps: Anorectal manometry / colonoscopy with rectal biopsy to confirm diagnosis, followed by surgical planning. (Ongoing)
Progress Updates
Meet Sepcialist for the fisrt time
Outpatient surgical consultation, Bangkok Hospital Hua Hin. CT whole abdomen confirms severe faecal impaction; chronic constipation since birth, rule out Hirschsprung disease. X-ray performed. Referred for further investigation (anorectal manometry / colonoscopy with rectal biopsy).
Met Dr. Mo (Bewell Childcare Foundation) at a free clinic along the border
Free medical clinic, Suanpueng, Ratchaburi (Be Well Give Back Clinic). Volunteer physical exam identifies a large intra-abdominal mass, suspected impacted faeces.
How Your Donation Helps
Funding Needs
Further investigation (anorectal manometry and/or colonoscopy with rectal biopsy) is estimated at 200,000 THB. This figure does not yet include the cost of surgical treatment, which will depend on the confirmed diagnosis.
Specialist investigations: anorectal manometry and/or colonoscopy with rectal biopsy
Pre-operative work-up, pending diagnosis
Surgical treatment, if Hirschsprung disease is confirmed
Post-operative care and follow-up
Transportation and accommodation support for the family
Why does he need help?
Chugedo has lived with pain, soiling, and the teasing of his peers for something he has never had the chance to have properly diagnosed. A lifelong condition, hiding a possible surgical cause, has gone unchecked simply because his family lacked access to specialist care. Supporting his diagnostic work-up and treatment is a direct, measurable act of compassion — giving him the chance at a normal, pain-free childhood.
Your support ensures that Be Well Child Care Foundation can deliver timely investigation and treatment, and demonstrate the power of collective care for children who would otherwise be left behind.
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Deadline: ASAP
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