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Hirschsprung's Disease - Symptoms

Symptoms of Hirschsprung's disease vary depending on the child's age, when the symptoms are recognized, the amount of intestine affected, and whether complications are present.

In a newborn (birth to age 1 month), the major signs and symptoms include:

  • A delay in passing the first stool (meconium) after birth. Healthy newborns usually pass stool within the first 24 hours after birth. A delay is common in Hirschsprung's disease.
  • Constipation. The newborn does not have regular bowel movements.
  • Vomiting.
  • Refusing to eat.
  • A swollen abdomen, which may cause the baby to breathe fast and grunt when breathing.

In an infant (age 1 month to 1 year), the major signs and symptoms include:

  • Slower-than-expected weight gain.
  • Constipation.
  • A swollen abdomen.
  • Episodes of diarrhea and vomiting.

In a child (age 1 year or older), the major signs and symptoms include:

  • Constipation, with the passage of ribbon-like, foul-smelling stool or with large amounts of hard stool becoming stuck in and blocking the large intestine camera (impaction).
  • A swollen abdomen.
  • Poor appetite and poor growth.

A serious condition called Hirschsprung's-associated enterocolitis (HAEC) may occur in some children who have Hirschsprung's disease. The small and large intestines may become inflamed. And a hole (perforation) may form in the large intestine, causing stool to leak inside the abdomen. Emergency surgery may be needed.

Other conditions with similar symptoms include a tumor or cyst on or in the intestines or a blockage that occurs when meconium becomes stuck in the baby's bowel (meconium plug syndrome).

WebMD Medical Reference from Healthwise

Last Updated: September 09, 2010
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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