Chronic diarrhea was found in Diagnosaurus 2.0 which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.
To view this entire topic, please sign in or purchase a subscription.
Explore 5-Minute Clinical Consult - view these FREE monographs:
-- The first section of this topic is shown below --
DDx
Common
- Irritable bowel syndrome, lactase deficiency, parasites, caffeine, alcohol, laxative abuse
Osmotic
- Lactase deficiency
- Medications: antacids, lactulose, sorbitol, Olestra
- Factitious: magnesium-containing antacids or laxatives
Secretory
- Hormonal: Zollinger-Ellison syndrome (gastrinoma), carcinoid, VIPoma, medullary thyroid carcinoma
- Laxative abuse: phenolphthalein, cascara, senna
- Villous adenoma
- Medications
Inflammatory conditions
- Inflammatory bowel disease
- Microscopic colitis (lymphocytic or collagenous)
- Cancer with obstruction and pseudodiarrhea
- Radiation colitis
Malabsorption
- Small bowel: celiac sprue, Whipple’s disease, tropical sprue, eosinophilic gastroenteritis, small bowel resection, Crohn’s disease
- Lymphatic obstruction: lymphoma, carcinoid, tuberculosis, Mycobacterium avium complex (MAC), Kaposi’s sarcoma, sarcoidosis, retroperitoneal fibrosis
- Pancreatic insufficiency: chronic pancreatitis, cystic fibrosis, pancreatic cancer
- Bacterial overgrowth, eg, diabetes
- Reduced bile salts: ileal resection, Crohn’s disease, postcholecystectomy
Motility disorders
- Irritable bowel syndrome
- Postsurgical: vagotomy, partial gastrectomy, blind loop with bacterial overgrowth
- Systemic disease: diabetes mellitus, hyperthyroidism, scleroderma
- Caffeine or alcohol use
Chronic infections
- Parasites: giardiasis, amebiasis, strongyloidiasis
Other
- Ischemic colitis
- Adrenal insufficiency
-- To view the remaining sections of this topic, please sign in or purchase a subscription --
