When symptoms continue even after treatment or to rule out the presence of other illnesses with similar symptoms, the diagnostic evaluation may include blood tests, a hydrogen breath test, or an x ray of the bowel, called a barium enema.
The x ray images may be enhanced by giving the child a barium enema, a form of contrast or opaque media that allows more detail to be seen in x rays and MRI or CT scans.
If the pediatrician makes a diagnosis of retentive encopresis, the physician may recommend laxatives, stool softeners, or an enema to free the impaction.
Double-Contrast Barium Enema (DCBE), every five years: DCBE involves drinking a special substance which makes the colon more clearly visible on an X-ray.
The band rose to even greater fame with the addition of Barker, and went on to record four more discs, including the landmark Enema of the State in 1999.