First check for Hirschsprung's disease

Congenital Hirschsprung's disease requires a detailed examination to confirm the diagnosis, the primary means of which are anorectal manometry and barium enema.

This disease is a rare but serious congenital disease of the digestive tract, usually because some areas of the colon have no ganglion cells, which causes these areas to be unable to move normally, causing feces to accumulate. Patients often present with intestinal obstruction, abdominal distension, and difficulty defecating in the neonatal period. Some milder cases may not be discovered until infancy or childhood.

Doctors usually make a preliminary judgment based on the medical history and physical examination, and then arrange some necessary auxiliary examinations. Anorectal manometry helps to evaluate whether the intestinal reflex function is abnormal; barium enema can visually show the expansion and narrow areas of the colon; if necessary, rectal mucosal biopsy will be performed to confirm the diagnosis. These examinations are closely linked to each other and can fully understand the condition.

If a newborn is found to have severe constipation, abdominal distension and other symptoms, he or she should go to the hospital's gastroenterology or pediatrics department as soon as possible to avoid delaying treatment. Parents should pay attention to their children's bowel movements and consult a doctor in time if there are any abnormalities. After the diagnosis is confirmed, surgical intervention or other treatments should be carried out according to the doctor's advice to effectively improve symptoms and improve the quality of life.