Chronic diarrhea differential diagnosis
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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; fatty, inflammatory, or watery. 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
- Ulcerating viral infections
- Ischemic colitis
- Radiation colitis
- Neoplasia
- Colon cancer
- Lymphoma
References
- ↑ 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.