NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)
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
Children follow the same pathway: recognise and refer. No primary-care medicine is implied.
No dose - referral pathway, no medicine given in primary care
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.
- 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.