Print Overview Hirschsprung's disease Enlarge image Close Hirschsprung's disease Hirschsprung's disease In children with Hirschsprung's disease, nerves fail to form in all or part of the large intestine (colon). Waste from digestion cannot pass through the part of the colon lacking nerve tissue. The normal colon swells with blocked stool. Hirschsprung's (HIRSH-sproongz) disease is a condition that affects the large intestine (colon) and causes problems with passing stool. The condition is present at birth (congenital) as a result of missing nerve cells in the muscles of the baby's colon. Without these nerve cells stimulating gut muscles to help move contents through the colon, the contents can back up and cause blockages in the bowel. A newborn who has Hirschsprung's disease usually can't have a bowel movement in the days after birth. In mild cases, the condition might not be detected until later in childhood. Uncommonly, Hirschsprung's disease is first diagnosed in adults. Surgery to bypass or remove the diseased part of the colon is the treatment.Products & ServicesBook: Mayo Clinic Family Health Book, 5th EditionNewsletter: Mayo Clinic Health Letter — Digital EditionShow more products from Mayo Clinic SymptomsSigns and symptoms of Hirschsprung's disease vary with the severity of the condition. Usually signs and symptoms appear shortly after birth, but sometimes they're not apparent until later in life. Typically, the most obvious sign is a newborn's failure to have a bowel movement within 48 hours after birth. Other signs and symptoms in newborns may include: Swollen belly Vomiting, including vomiting a green or brown substance Constipation or gas, which might make a newborn fussy Diarrhea Delayed passage of meconium — a newborn's first bowel movement In older children, signs and symptoms can include: Swollen belly Chronic constipation Gas Failure to thrive Fatigue Request an appointment CausesIt's not clear what causes Hirschsprung's disease. It sometimes occurs in families and might, in some cases, be associated with a genetic mutation. Hirschsprung's disease occurs when nerve cells in the colon don't form completely. Nerves in the colon control the muscle contractions that move food through the bowels. Without the contractions, stool stays in the large intestine. Risk factorsFactors that may increase the risk of Hirschsprung's disease include: Having a sibling who has Hirschsprung's disease. Hirschsprung's disease can be inherited. If you have one child who has the condition, future biological siblings could be at risk. Being male. Hirschsprung's disease is more common in males. Having other inherited conditions. Hirschsprung's disease is associated with certain inherited conditions, such as Down syndrome and other abnormalities present at birth, such as congenital heart disease. ComplicationsChildren who have Hirschsprung's disease are prone to a serious intestinal infection called enterocolitis. Enterocolitis can be life-threatening and requires immediate treatment. By Mayo Clinic Staff Request an appointment Diagnosis & treatment Aug. 21, 2021 Print Share on: FacebookTwitter Show references Kliegman RM, et al. Motility disorders and Hirschsprung disease. In: Nelson Textbook of Pediatrics. 21st ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed March 3, 2021. What I need to know about Hirschsprung disease. National Institute of Diabetes and Digestive and Kidney Disease. https://www.niddk.nih.gov/health-information/digestive-diseases/hirschsprung-disease. Accessed March 3, 2021. Martin RJ, et al., eds. Selected gastrointestinal anomalies in the neonate. In: Fanaroff and Martin's Neonatal-Perinatal Medicine: Disease of the Fetus and Infant. 11th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed March 3, 2021. Wesson DE, et al. Congenital aganglionic megacolon (Hirschsprung disease). https://www.uptodate.com/contents/search. Accessed March 4, 2021. Constipation. National Institute of Diabetes and Digestive and Kidney Disease. https://www.niddk.nih.gov/health-information/digestive-diseases/constipation. Accessed March 4, 2021. Related Hirschsprung's disease Associated Procedures X-ray Products & Services Book: Mayo Clinic Family Health Book, 5th Edition Newsletter: Mayo Clinic Health Letter — Digital Edition Show more products and services from Mayo Clinic Hirschsprung's diseaseSymptoms & causesDiagnosis & treatmentDoctors & departments Advertisement Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. Advertising & Sponsorship Policy Opportunities Ad Choices Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. 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