# Congenital digestive system anomaly

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Hirschsprung Disease - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK562142/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class DD55 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
CONGENITAL DIGESTIVE SYSTEM ANOMALY
Sources: Hirschsprung Disease - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK562142/ · ICPC-3
         (WONCA International Classification of Primary Care, 3rd edition) class DD55 - condition
         scope only, no dose · No dose - referral pathway, no medicine given in primary care
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    Structural anomalies (e.g. biliary atresia, Hirschsprung's disease, congenital
            megacolon, esophageal atresia) present in infancy with feeding difficulty, jaundice, or
            failure to pass stool; management is pediatric surgical, not something a GP prescribes
            for. - Refer
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      Structural anomalies (e.g. biliary atresia, Hirschsprung's disease, congenital
            megacolon, esophageal atresia) present in infancy with feeding difficulty, jaundice, or
            failure to pass stool; management is pediatric surgical, not something a GP prescribes
            for.
   Caution  No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - Failure to pass meconium within 48 hours, bilious vomiting in a neonate,
            progressive abdominal distension, or persistent neonatal jaundice with pale stools and
            dark urine (time-critical for biliary atresia): refer urgently.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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