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Hirschsprung’s disease

Alternative Names

Congenital megacolon

Symptoms

  • Constipation
  • Failure to pass meconium shortly after birth
  • Failure to pass a first stool within 24 - 48 hours after birth
  • Malabsorption
  • Poor weight gain
  • Slow growth (child 0-5 years)
  • Swollen belly
  • Vomiting
  • Watery diarrhea (in the newborn)

Exams and Tests

During a physical examination, the doctor may be able to feel loops of bowel in the swollen belly. A rectal examination may reveal a loss of muscle tone in the rectal muscles.

Tests used to help diagnose Hirschsprung's disease may include:

  • Abdominal x-ray
  • Anal manometry (a balloon is inflated in the rectum to measure pressure in the area)
  • Barium enema
  • Rectal biopsy

Review Date: 10/8/2007
Reviewed By: Deirdre O’Reilly, MD, MPH, Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts. Review Provided by VeriMed Healthcare Network.

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