Hirschsprung's disease (HD) is a structural or functional abnormality that is present at birth characterized by the absence of ganglion cells in the intestinal tract, which leads to bowel obstruction in humans. This case report focuses on a 1-year- old male child presenting with short segment HD, chronic constipation, iron deficiency anemia, vitamin D deficiency, and malnutrition. Diagnosis was confirmed through clinical history, imaging studies, and histopathological confirmation. Treatment was followed by the recommendations of the Indian Academy of Pediatrics (IAP), which include blood transfusion, iron and vitamin D supplementation, dietary management, and preparation for definitive surgical intervention. This case emphasizes the importance of early diagnosis and multidisciplinary care for optimizing outcomes in pediatric patients with HD and associated complications.