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Congenital metabolic disorders are a group of disorders where the baby is not able to metabolise the normal protein, fat or carbohydrate because of the deficiency of one enzyme, particular enzyme in the system because of the deficiency of this enzyme, the baby will not be able to metabolize the protein, fat or carbohydrate which is ingested by the baby. So because of this deficiency, what happens is the metabolite starts accumulating in the body. For example, the X metabolite has to be converted into Y, by an enzyme called A and if enzyme A is deficient, this X metabolite will keep on accumulating in the body and the metabolite Y, which has to be derived from X will be deficient in the body. So the baby develops symptoms because of the excess of X metabolite or due to the deficiency of the Y metabolite. So that is the problem which happens when there is a metabolic disease. It is due to the deficiency of an enzyme which is required for the conversion of a particular metabolite to a different metabolite. The symptoms which the baby develops is due to excess of the metabolite, which I said in the example X, or due to the excess of the metabolite which has to be delivered from the previous metabolite.

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