Irritable bowel syndrome differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
| Line 162: | Line 162: | ||
* [[Abdominal pain]] followed by [[diarrhea]] | * [[Abdominal pain]] followed by [[diarrhea]] | ||
| | | | ||
* [[Abdominal]][[Tenderness|tenderness when]]<nowiki/>palpated in severe [[disease]] | * [[Abdominal]] [[Tenderness|tenderness when]]<nowiki/> palpated in severe [[disease]] | ||
* Blood seen on [[rectal exam]] | * Blood seen on [[rectal exam]] | ||
* [[Fever]] | * [[Fever]] | ||
| Line 170: | Line 170: | ||
* [[Colonoscopy]] with [[biopsy]] | * [[Colonoscopy]] with [[biopsy]] | ||
| | | | ||
* Topical mucosamine and [[corticosteroids]]<nowiki/>are preferred | * Topical mucosamine and [[corticosteroids]]<nowiki/> are preferred | ||
* [[Mesalamine]]<nowiki/>and [[sulfasalazine]]<nowiki/>are used for remission | * [[Mesalamine]]<nowiki/>and [[sulfasalazine]]<nowiki/> are used for remission | ||
|- | |- | ||
|[[Zollinger-Ellison syndrome]] | |[[Zollinger-Ellison syndrome]] | ||
| Line 207: | Line 207: | ||
* [[TSH]] with [[T3]] and [[T4]] | * [[TSH]] with [[T3]] and [[T4]] | ||
| | | | ||
* [[Carbimazole]]<nowiki/>and [[methimazole]] | * [[Carbimazole]]<nowiki/> and [[methimazole]] | ||
* [[Beta blockers]]<nowiki/>like [[propylthiouracil]] | * [[Beta blockers]]<nowiki/> like [[propylthiouracil]] | ||
* [[Iodine-131]] | * [[Iodine-131]] | ||
|- | |- | ||
| Line 296: | Line 296: | ||
| | | | ||
* High [[dietary fiber]] | * High [[dietary fiber]] | ||
* [[Osmotic]][[laxatives]] such as [[polyethylene glycol]], [[sorbitol]], and [[lactulose]] | * [[Osmotic]] [[laxatives]] such as [[polyethylene glycol]], [[sorbitol]], and [[lactulose]] | ||
* [[Antispasmodic]]<nowiki/>drugs (e.g. [[Anticholinergic|anticholinergics]]<nowiki/>such as [[hyoscyamine]]<nowiki/>or [[dicyclomine]]) | * [[Antispasmodic]]<nowiki/>drugs (e.g. [[Anticholinergic|anticholinergics]]<nowiki/> such as [[hyoscyamine]]<nowiki/> or [[dicyclomine]]) | ||
|} | |} | ||
Revision as of 18:39, 1 November 2017
|
Irritable bowel syndrome Microchapters |
|
Differentiating Irritable bowel syndrome from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Irritable bowel syndrome differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Irritable bowel syndrome differential diagnosis |
|
Risk calculators and risk factors for Irritable bowel syndrome differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Irritable bowel syndrome must be differentiated from other diseases that cause diarrhea, constipation, and abdominal pain, such as Celiac disease, Inflammatory bowel disease(Crohn's disease and Ulcerative colitis) Thyroid disease (Hyper or Hypothyroidism), strictures due to ischemia, diverticulitis or ischemia, among others.
The differential diagnosis for Irritable bowel syndrome can be listed based on predominant symptoms, such as constipation predominant, diarrhea predominant and pain predominant diseases.
Differentiating Irritable Bowel Syndrome from other Diseases
Diseases with similar symptoms
- Celiac disease
- Crohn's disease
- Zollinger-Ellison syndrome
- VIPoma
- Diverticulitis
- Endometriosis
- Gallstones
- Gastroesophageal reflux disease (GERD)
- Inflammatory bowel disease
- Lactose intolerance
- Thyroid disease- Hyperthyroidism/Hypothyroidism
- Chronic pancreatitis
- Small bacterial overgrowth
- Intermittent small bowel obstruction
Differential Diagnosis of Irritable Bowel Syndrome on the basis of Constipation:
The differential diagnosis of Irritable bowel Syndrome based on constipation is as follows:[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]
| Differential Diagnosis for Constipation predominant symptoms | Clinical features | Diagnosis |
|---|---|---|
| Strictures due to diverticultis,inflammatory bowel disease, ischemia or cancer | ||
| Hypothyroidism |
|
|
| Medication |
| |
| Neurologic disease |
|
|
| Pelvic floor dysfunction |
|
|
| Colonic inertia |
|
|
Differential Diagnosis of Irritable Bowel Syndrome on the basis of Diarrhea:
The differential diagnosis of Irritable Bowel Syndrome based on diarrhea is as follows:[1][2]
| Differential Diagnosis for Diarrhea predominant symptoms | Clinical features | Diagnosis |
|---|---|---|
| Crohn's disease |
|
|
| Ulcerative colitis |
|
|
| Microscopic colitis |
|
|
| Celiac disease |
|
|
| Neuroendocrine tumor |
| |
| Hyperthyroidism |
|
|
| Lactose intolerance |
|
|
| Infectious causes |
|
|
| Small bowel bacterial overgrowth | ||
| Clostridium difficile infection(Psuedomembranous colitis) |
|
The diffrentials of chronic watery diarrhea are as follows:
| Cause | Osmotic gap | History | Physical exam | Gold standard | Treatment | |||
|---|---|---|---|---|---|---|---|---|
| < 50 mOsm per kg | > 50 mOsm per kg* | |||||||
| Watery | Secretory | Crohns | + | - |
|
|
|
|
| Zollinger-Ellison syndrome | + | - |
|
|
|
| ||
| Hyperthyroidism | + | - |
|
|||||
| VIPoma | + | - |
|
|
| |||
| Osmotic | Lactose intolerance | - | + |
|
||||
| Celiac disease | - | + |
|
|
|
|||
| Functional | Irritable bowel syndrome | - | - | Abdominal pain or discomfort recurring at least 3 days per month in the past 3 months and associated with 2 or more of the following:
History of straining is also common |
|
Clinical diagnosis
|
| |
Template:WikiDoc Sources
Differential diagnosis of abdominal pain
The differential diagnosis based on abdominal pain are as follows:
The following is a list of diseases that present with acute onset severe lower abdominal pain:
References
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||