Chronic diarrhea differential diagnosis: Difference between revisions

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==Differential diagnosis==
==Differential diagnosis==
It is important to differentiate chronic diarrhea based on the kind of diarrhea that is produced. Chronic diarrhea can be subdivided into three major types; fatty, inflammatory, or watery. Watery chronic diarrhea can then further be sub-divided into osmotic or secretory diarrhea.
It is important to differentiate chronic diarrhea based on the kind of diarrhea that is produced. Chronic diarrhea can be subdivided into three major types; watery, fatty, inflammatory. Watery chronic diarrhea can then further be sub-divided into osmotic or secretory diarrhea.
Below is a list of differential Diagnosis of Chronic Diarrhea by Stool Characteristics.<ref name="LacyMearin2016">{{cite journal|last1=Lacy|first1=Brian E.|last2=Mearin|first2=Fermín|last3=Chang|first3=Lin|last4=Chey|first4=William D.|last5=Lembo|first5=Anthony J.|last6=Simren|first6=Magnus|last7=Spiller|first7=Robin|title=Bowel Disorders|journal=Gastroenterology|volume=150|issue=6|year=2016|pages=1393–1407.e5|issn=00165085|doi=10.1053/j.gastro.2016.02.031}}</ref>
Below is a list of differential Diagnosis of Chronic Diarrhea by Stool Characteristics.<ref name="LacyMearin2016">{{cite journal|last1=Lacy|first1=Brian E.|last2=Mearin|first2=Fermín|last3=Chang|first3=Lin|last4=Chey|first4=William D.|last5=Lembo|first5=Anthony J.|last6=Simren|first6=Magnus|last7=Spiller|first7=Robin|title=Bowel Disorders|journal=Gastroenterology|volume=150|issue=6|year=2016|pages=1393–1407.e5|issn=00165085|doi=10.1053/j.gastro.2016.02.031}}</ref>



Revision as of 15:26, 7 June 2017

Chronic diarrhea Microchapters

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Causes

Differentiating Chronic diarrhea from other Diseases

Epidemiology and Demographics

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Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]

Overview

Differential diagnosis

It is important to differentiate chronic diarrhea based on the kind of diarrhea that is produced. Chronic diarrhea can be subdivided into three major types; watery, fatty, inflammatory. Watery chronic diarrhea can then further be sub-divided into osmotic or secretory diarrhea. Below is a list of differential Diagnosis of Chronic Diarrhea by Stool Characteristics.[1]

Watery diarrhea

  • Osmotic diarrhea
    • Mg2+, PO43-, SO42- ingestion
    • Carbohydrate malabsorption
  • Secretory diarrhea
    • Laxative abuse (nonosmotic laxatives)
    • Congenital syndromes
    • Bacterial toxins
    • Ileal bile acid malabsorption
    • Inflammatory bowel disease
      • Ulcerative colitis
      • Crohn’s disease
      • Microscopic (lymphocytic and collagenous) colitis
      • Diverticulitis
    • Vasculitis
    • Drugs and poisons
    • Disordered motility
      • Postvagotomy diarrhea
      • Postsympathectomy diarrhea
      • Diabetic autonomic neuropathy
      • Hyperthyroidism
      • Irritable bowel syndrome
    • Neuroendocrine tumors
      • Gastrinoma
      • VIPoma
      • Somatostatinoma
      • Mastocytosis
      • Carcinoid syndrome
      • Medullary carcinoma of thyroid
    • Neoplasia
      • Colon carcinoma
      • Lymphoma
      • Villous adenoma
    • Addison’s disease
    • Epidemic secretory diarrhea
    • Idiopathic secretory diarrhea

Fatty diarrhea

  • Malabsorption syndromes
    • Mucosal diseases
    • Short-bowel syndrome
    • Postresection diarrhea
    • Mesenteric ischemia
  • Maldigestion
    • Pancreatic insufficiency
    • Bile acid deficiency

Inflammatory diarrhea

  • Inflammatory bowel disease
    • Ulcerative colitis
    • Crohn’s disease
    • Diverticulitis
    • Ulcerative jejunoileitis
  • Infectious diseases
    • Ulcerating viral infections
      • Cytomegalovirus
      • Herpes simplex
  • Ischemic colitis
  • Radiation colitis
  • Neoplasia
    • Colon cancer
    • Lymphoma

References

  1. Lacy, Brian E.; Mearin, Fermín; Chang, Lin; Chey, William D.; Lembo, Anthony J.; Simren, Magnus; Spiller, Robin (2016). "Bowel Disorders". Gastroenterology. 150 (6): 1393–1407.e5. doi:10.1053/j.gastro.2016.02.031. ISSN 0016-5085.


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