Patient's question:
When the child was born, meconium was passed out within 24 hours. When the parents were discharged from the hospital, they noticed hemolytic jaundice. They were hospitalized for 7 days and were fed with formula milk during their stay. Their urination and defecation were normal. After discharge, they were breastfed. However, the child did not have a bowel movement for four days and had to be hospitalized for an enema, which resulted in the passage of a large amount of stool. The doctor prescribed Yinzhifang Granules, a 10-day supply. During the medication, the child had normal bowel movements, but after stopping the medication, he stopped having bowel movements again. Approximately three days without a bowel movement, I used a soap stick to help him defecate. The child was seen by experts twice in the hospital, but the doctors did not perform any detailed examinations and said that the possibility of Hirschsprung's disease was unlikely. They advised using a syringe to stimulate defecation at home. The syringe stimulation did not cause any reaction in the child, and he continued to use the soap stick for stimulation. By the time the child was three months old, there was some improvement, and he could defecate on his own, though it was still intermittent. Now the child is eight months old and has just started complementary feeding. At the same time, the child again developed constipation at eight months. I wonder if the doctor, is this condition Hirschsprung's disease? The child has been experiencing no obvious abdominal pain.Doctor's answer:
According to the information you have purchased, there is now a concern that your child may have congenital megacolon, which could be more than 48 hours after birth without meconium discharge or only a very small amount of meconium discharge. It may reappear within 2 to 3 days with lower abdominal partial or complete obstruction symptoms, accompanied by dry vomiting and abdominal pain without defecation. The abdomen may again show a wide colon type. Currently, your child can defecate normally, and there are no relevant signs. This is generally not considered a concern. If you still have concerns in this regard, you can go to the hospital for a follow-up visit, undergo abdominal X-ray and barium enema to clarify the condition. I hope this is helpful to you. This is the advice for the question "Child's meconium discharge within 24 hours after birth." I hope it helps you. Wishing you good health!