Child hasn't had a bowel movement for ten days and has smelly gas, could it be congenital megacolon?

Patient's question:

My child is 5 months old. When they were born, their meconium was delayed, and they had abdominal pain and poor appetite. It took about 24 hours for the doctor to use glycerin suppositories to expel it. After that, they have been having their own bowel movements almost every day, with about seven or eight times a day. For the past two months, they have started having abdominal pain every three or four days, which improves after a bowel movement. They have many bowel movements every day. At around four months, they had two instances of not having a bowel movement for three days, and when they did, the stools were very large. Then, they had three normal bowel movements a day. Now, at five months, they haven't had a bowel movement for 10 days. The doctor at the hospital suspects congenital megacolon. During the time they haven't had a bowel movement, they pass gas frequently and it smells very bad. Their stomach isn't too bloated, and it doesn't feel hard when touched. They are eating and drinking well, and their spirits are good. Is my child okay?

Doctor's answer:

The situation you mentioned cannot be confirmed as Hirschsprung's disease. It is recommended to have a detailed examination in a regular hospital's pediatric department to determine whether it is Hirschsprung's disease. If necessary, fusion imaging tests may be required. In daily life, pay close attention to the frequency and shape of your child's bowel movements, provide them with easily digestible foods, and ensure they drink plenty of water. If anything seems wrong, seek medical attention promptly.

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