Constipation and abdominal pain: Difference between revisions

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__NOTOC__
{{CMG}}; {{AE}} {{EG}}
== Differential Diagnosis of Constipation and Abdominal Pain ==
<small>
{|
{|
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
! colspan="2" rowspan="4" |Diseases
! rowspan="4" |Diseases
! colspan="8" rowspan="2" |History and Symptoms
! colspan="8" rowspan="2" |History and Symptoms
! colspan="4" rowspan="2" |Physical Examination
! colspan="4" rowspan="2" |Physical Examination
Line 30: Line 36:
!Tremor
!Tremor
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="6" |'''[[Gastrointestinal diseases]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Irritable bowel syndrome|Irritable bowel syndrome (IBS)]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Malignancy]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Empty [[rectum]]
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* Acute change in [[Bowel movement|bowel habits]]
* [[Rectal bleeding]]
* [[Anemia]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Colonoscopy|Rectosigmoidoscopy]] with [[biopsy]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Irritable bowel syndrome|Irritable bowel syndrome (IBS)]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
Line 76: Line 58:
* Rolling out other [[Pathophysiology|pathophysiologies]]
* Rolling out other [[Pathophysiology|pathophysiologies]]
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Rectocele]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Diverticulosis]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |Bulging [[rectum]]
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Obstruction]]
* Absence of [[defecation]] and gas passing
| style="background: #F5F5F5; padding: 5px;" |
* [[Anoscopy]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Anal fissure]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +++
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Increased [[sphincter]] tone
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Rectal bleeding]] after [[defecation]]
* [[Painful]] [[Rectal examination|DRE]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Digital rectal examination|DRE]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Anismus]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Increased [[sphincter]] tone
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* Absence of [[defecation]] and gas passing
| style="background: #F5F5F5; padding: 5px;" |
* [[Digital rectal examination|DRE]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Diverticulosis]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
Line 163: Line 80:
* [[Colonoscopy]]
* [[Colonoscopy]]
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="8" |'''[[Neurologic diseases|Neurogenic diseases]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Hirschsprung disease]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Autonomic neuropathy|Diabetic autonomic neuropathy]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* Distal [[neuropathy]]
* [[Gastroparesis]]
* [[Nausea and vomiting]]
| style="background: #F5F5F5; padding: 5px;" |
* [[FBS]] and [[HbA1C]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Anorexia nervosa]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓ Electrolytes
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* ↓↓↓ [[BMI]]
* [[Amenorrhea]]
* [[Depressed mood]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Clinical]] characteristics
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Parkinson's disease]]'''
| style="background: #F5F5F5; padding: 5px;" | +/-
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | ++
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Muscle spasm|Muscle stiffness]]
* [[Drooling]]
| style="background: #F5F5F5; padding: 5px;" |
* Brain [[MRI]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Multiple sclerosis]]'''
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↓↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Blurred vision]]
* [[Erectile dysfunction]]
| style="background: #F5F5F5; padding: 5px;" |
* Brain [[MRI]]
* [[CSF]] biochemical profile
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Depression]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* Hopelessness
* [[Weakness]] and [[fatigue]]
* [[Depressed mood]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Psychological]] examination
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Hirschsprung disease]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Barium enema]]
* [[Barium enema]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Cerebral palsy]]'''
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑'''
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Spastic paralysis|Spastic extremities paralysis]]
* [[Paresthesia]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Brain]] [[MRI]]
* [[Physical examination]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Chagas disease]]'''
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Cardiomyopathy]]
* [[Megaesophagus]] or [[megacolon]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Peripheral blood smear]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="5" |'''[[Endocrine diseases]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Hypothyroidism]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓↓
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |'''↑↑'''
| style="background: #F5F5F5; padding: 5px;" |
* [[Weakness]] and [[fatigue]]
* [[Dysmenorrhea]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Thyroid function tests|Thyroid function tests (TFT)]]
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Cystic fibrosis]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Cystic fibrosis]]'''
Line 391: Line 125:
* [[Sweat chloride test|Sweat Cl test]]
* [[Sweat chloride test|Sweat Cl test]]
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Lead poisoning]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Lead poisoning]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +++
| style="background: #F5F5F5; padding: 5px;" | +++
Line 414: Line 148:
* Plasma [[lead]] level
* Plasma [[lead]] level
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Pheochromocytoma]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Hypertension]] crisis
* Severe [[headache]]
* [[Blurred vision]]
| style="background: #F5F5F5; padding: 5px;" |
* Urine [[Vanillyl mandelic acid|vanillyl mandelic acid (VMA)]] level
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Panhypopituitarism]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |↓
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Hypothyroidism]]
* [[Amenorrhea]]
* [[Growth retardation]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Hormone]] levels
* [[Brain]] [[MRI]]
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="3" |'''[[Electrolyte disturbances]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Hypomagnesemia]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Hypomagnesemia]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
Line 528: Line 214:
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Plasma [[K]] level
* Plasma [[K]] level
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" rowspan="2" |'''[[Systemic diseases]]'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Pregnancy]]'''
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Lower extremities]] [[edema]]
* [[Dyspnea]]
* [[Nausea and vomiting]]
| style="background: #F5F5F5; padding: 5px;" |
* Plasma [[HCG|βhCG]]
* [[Ultrasonography]]
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |'''[[Systemic sclerosis]]'''
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |Normal
| style="background: #F5F5F5; padding: 5px;" |
* [[Raynaud phenomenon]]
* Fingertip [[ulcer]]
| style="background: #F5F5F5; padding: 5px;" |
* Clinical characteristics
* [[Anti-centromere antibodies|Anti-centromere]] and [[Anti Scl-70|anti-Scl-70 antibodies]]
|}
|}
</small>

Latest revision as of 18:17, 20 December 2017


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Differential Diagnosis of Constipation and Abdominal Pain

Diseases History and Symptoms Physical Examination Laboratory Findings Other Findings Diagnostic study of choice
Electrolyts

[Ca, K, Mg]

Biochemical tests
GI symptoms Extra GI symptoms Abnormal gait Anal protruding mass DRE Deep tendon reflex FBS TSH
Dysphagia Abdominal pain Anal pain Rectal bleeding Weight loss Polyphagia, Polyuria, Polydipsia Dry skin Tremor
Irritable bowel syndrome (IBS) - + +/- - - - - - - - Normal Normal Normal Normal Normal
Diverticulosis - + - + - - - - - - Normal Normal Normal Normal Normal
Hirschsprung disease - + - + + - - - - - Blood tinged glove Normal Normal Normal Normal
Cystic fibrosis - + - - + - - - - - Normal Normal Normal Normal Normal
Lead poisoning - +++ - - - - - + - - Normal Normal Normal Normal Normal
Hypomagnesemia - + - - - - - + - - Normal ↓↓ Mg Normal Normal
  • Plasma Mg level
Hypocalcemia/Hypercalcemia - + - - - - - - - - Normal ↓Ca/Ca Normal Normal
  • Plasma Ca level
Hypokalemia - + - - - - - - +/- - Normal ↓K Normal Normal
  • Plasma K level