Most newborns (80%) with CH have very few or no symptoms at all. However, the following symptoms and complaints may occur:
- Behavior: sleepy and groggy, does not react adequately to stimuli, a hoarse, low cry or a soundless cry.
- Skin: jaundice (yellowish in color), often chronically dry, cold skin.
- Head-throat: enlarged fontanelles, wide and low nose bridge, swelling around the eyes, large tongue, palpable swelling in the throat.
- Abdomen: large, rounded belly, clearly visible blood vessels, naval hernia.
- Stomach-intestinal tract: feeding problems (poor drinking, frequent vomiting), constipation.
- Muscle tone: reduced muscle tone, feels limp.
- Bodily functions: slow heart rate, low temperature.
In addition to these, newborns with CH due to hypothalamus or pituitary problems may also have the following symptoms or features:
- Blood sugar level too low (hypoglycemia).
- In boys: penis too small and undescended testicles.