{
  "schema_version": 1,
  "kind": "condition",
  "id": "congenital-digestive-anomaly",
  "name": "Congenital digestive system anomaly",
  "category": "chronic",
  "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",
  "verified_against": "No dose - referral pathway, no medicine given in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 469,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "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.",
      "cautions": [
        "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "congenital-digestive-anomaly"
    }
  ]
}