11th June 2021

A 5-year-old boy with Down Syndrome attends the GP with his mother

A 5-year-old boy with Down Syndrome attends the GP with his mother. You see from his medical notes that he has been suffering with chronic constipation since birth, for which only enemas and suppositories have been effective. In the past year, his weight and height have been dropping.

What is the most likely explanation for his symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.