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Liver and digestive diseases

Hirschsprung disease

A bowel disease present from birth. There are no nerve cells in the last part of the large bowel. This is why stool cannot move forward; severe constipation or blockage occurs.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Liver and digestive diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

The bowel pushes stool forward with muscle contractions. These muscles are controlled by nerve cells in the bowel wall. In this disease, while the baby is in the womb, these nerves do not reach the last part of the bowel. The part without nerves cannot push stool along; stool builds up and a blockage occurs.

Which symptoms can occur?

Symptoms usually begin soon after birth. Mild cases may be noticed later in childhood.

  • The baby not passing the first stool (meconium) in the first 48 hours
  • A swollen belly
  • Green or yellow-green vomiting
  • Constipation that does not go away and keeps getting worse
  • Feeding difficulties and slow weight gain
  • Inflammation of the bowel (enterocolitis): fever, foul-smelling diarrhea (sometimes)

How is it diagnosed?

The doctor examines the belly and, if needed, checks the back passage with a finger. An abdominal X-ray can show the blockage. The diagnosis is confirmed with a small tissue sample (biopsy) taken from the back passage; the sample is checked for nerve cells.

Treatment and care

The main treatment is surgery. The part of the bowel without nerves is removed, and healthy bowel is joined to the anus. Sometimes the operation is done in two stages, with a temporary opening in the belly (stoma) in between. Bowel washouts and fluids through a vein may be needed before surgery. In most children the bowel works well after surgery. Some children may continue to have constipation or soiling; regular follow-up and diet support help. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The cause of the disease is not fully known; several genes play a role. About one in five cases occur in more than one person in the same family. In a family that already has a child with this disease, the risk for a new baby is slightly higher. Not everyone who carries the gene becomes ill. Sometimes it can be part of another genetic condition. Genetic counselling helps the family understand their own risk.

Source: MedlinePlus Genetics: Hirschsprung disease · NHS: Hirschsprung's disease · MedlinePlus: Hirschsprung disease

Key facts

How common is it?
Prevalence: 1-5 per 10 000 (Worldwide)
When does it usually start?
Childhood, Infancy, Newborn period
Gene(s) involved
ABCD1, RET, ATP7A, ECE1, EDN3, EDNRB

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Guides related to this disease

  • Rare disease at school · Telling the school, medicines and emergency plan, inclusion and BEP, support education room, absences, LGS/YKS arrangements, peer bullying.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about Hirschsprung

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 9 active interventional studies for this disease. 4 are recruiting now; none has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Liver and digestive diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:388 · ICD-11 LB16.1

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.