14. The correct answer is D. This situation is very typical for patients with Hirschsprung's Disease. This is a problem of a decrease of ganglion nerve cells at that section of the large intestine. Barium Enema aids in the diagnosis but confirmation is made with a full thickness intestinal biopsy. Miralax and fleets would give temporary relief but not fix the problem. A KUB would be little yield. Ultimately if the diagnosis is confirmed, this patient needs surgery to remove the disease portion of colon.
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