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Living with Intestinal obstruction in the newborn due to guanylate cyclase 2C deficiency

An extremely rare genetic condition in which a newborn's intestine is blocked by thick first stool (meconium).

Understanding Intestinal obstruction in the newborn due to guanylate cyclase 2C deficiency

Intestinal obstruction in the newborn due to guanylate cyclase 2C deficiency is an extremely rare, inherited digestive disorder.

Babies have meconium ileus, a blockage from thick first stool, without other signs of cystic fibrosis in the lungs or pancreas. GARD says it has been reported in three families, and two patients developed long-lasting diarrhea in infancy. The disease shows partial penetrance, meaning not everyone with the gene change is affected.

Signs & symptoms

Symptoms vary from person to person. GARD lists:

  • Meconium ileus (blocked first stool) in newborns
  • Long-lasting diarrhea (less common)
  • Small colon (microcolon, less common)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GUCY2C are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pull-thru Network
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the GUCY2C gene confirm the diagnosis?
How is this different from cystic fibrosis?
How can we manage diarrhea in infancy?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesGUCY2C

Changes (mutations) in the GUCY2C gene reduce or remove the activity of guanylate cyclase 2C. It is inherited in an autosomal recessive pattern.

GeneticGastrointestinal

Also known as: gucy2c meconium ileus; intestinal obstruction in newborn due to guanylate cyclase 2c deficiency; meconium ileus caused by mutation in gucy2c; meconium ileus due to guanylate cyclase 2c deficiency

Patient organizations

  • Pull-thru NetworkIntestinal obstruction in the newborn due to guanylate cyclase 2C deficiency · United States
Source: NIH GARD · Intestinal obstruction in the newborn due to guanylate cyclase 2C deficiencyGARD ID 17418 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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