If left untreated, Hirschsprung disease can progress to

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If left untreated, Hirschsprung disease can progress to bacterial overgrowth, colonic distention, and electrolyte imbalances. Bacterial overgrowth occurs due to the retention of fecal material in the colon leading to bacterial proliferation. Colonic distention may occur due to the accumulation of stool and gas in the colon. This distention can lead to colonic perforation, leading to electrolyte imbalances due to fluid and electrolyte loss from the perforation site. Therefore, all the options are correct, and the best choice is D.

If Left Untreated, Hirschsprung Disease Can Progress to