It would presumably involve a new type that didn't exist in the current ABI. Those pointers would stay the same, and the new (twice as big) pointers would be used for the array feature.
The point of uintptr_t is that it's an integer type to which any pointer type can be cast. If you introduce a new class of pointers which are not compatible with uintptr_t, then suddenly you have pointers which are not pointers.
No, uintptr_t is an integer type to which any object pointer type can be converted without loss of information. (Strictly speaking, the guarantee is for conversion to and from void*.) And if an implementation doesn't have a sufficiently wide integer type, it won't define uintptr_t. (Likewise for intptr_t the signed equivalent.)
There's no guarantee that a function pointer type can be converted to uintptr_t without loss of information.
C currently has two kinds of pointer types: object pointer types and function pointer types. "Fat pointers" could be a third. And since a fat pointer would internally be similar to a structure, converting it to or from an integer doesn't make a whole lot of sense. (If you want to examine the representation, you can use memcpy to copy it to an array of unsigned char.)
Surely you're not arguing that a bounded array is in fact a function rather than an object? The distinction between function and object pointers exists for Harvard architecture computers, which sort of exist (old Atmel AVR before they adopted ARM), but are not dominant.
Existing code would be using normal pointers, not fat pointers, so there would be no ABI break. New code using fat pointers would know that they fit into a pair of uintptr_t, so the size of uintptr_t would not need to change either.
IDK, it's not like it'd be an auto_ptr situation where you just don't use uintptr_t anymore and call the other one uintptr2_t. THere's different enough semantics that they both still make sesne.
Like, as someone who does real, real dirty stuff in Rust, usize as a uintptr equivalent gets used still even though fat pointers are about as well supported as you can imagine.