Constipation differential diagnosis: Difference between revisions

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Revision as of 18:02, 6 December 2017

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

Overview

Differentiating Constipation from Other Diseases

•Weight loss>10 lb
•FHx of CRC
•Acute onset in elderly
•Hematoschezia
•Iron deficiency anemia
•Positive OB

•Analgesic
•Anticholinergic
••Antihistamines
••Antispasmodics
••Antidepressants
••Antipsychotics
•Cation-Containing agent
••Iron supplements
••Aluminum (antacids, sucralfate)
••Barium
•Neuron targeting agents
••Opiates
••Antihypertensive
••Ganglion blockers
••Calcium channel blockers
••5HT3 antagonists

Alarm signs

Drugs

Constipation

Abdominal pain

YES

NO

IBS
Malignancy
DM neuropathy

Hypothyroidism
Hypomagnesemia
Hypocalcemia
Systemic sclerosis
Multiple sclerosis
Parkinson disease
Depression
Fissure
Anismus
Rectocele

Weight loss

Anal pain

YES

NO

YES

NO

Irritable bowel syndrome
Diabetic autonomic neuropathy

Fissure
Anismus
Rectocele

Hypothyroidism
Hypomagnesemia
Hypocalcemia
Systemic sclerosis
Multiple sclerosis
Parkinson disease
Depression

Polyuria
Polydypsia
Polyphagia

Mass protrusion

Dry skin

YES

NO

YES

NO

YES

NO

Fissure
Anismus

Hypothyroidism
Systemic sclerosis

Hypomagnesemia
Hypocalcemia
Multiple sclerosis
Parkinson's disease
Depression

Rectal bleeding

Dysphagia

Neurologic symptoms
(tremor, abnormal gait)

YES

NO

YES

NO

YES

NO

Multiple sclerosis
Parkinson disease

Hypomagnesemia
Hypocalcemia
Depression

Basal ganglia atrophy in MRI

Electrolyte disturbance

YES

NO

YES

NO

Malignancy

Diabetic autonomic neuropathy

Irritable bowel syndrome

References

Template:WH Template:WS

@@ Line 6: / Line 6: @@
 ==Differentiating Constipation from Other Diseases==
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+{{family tree|boxstyle=text-align: left; | | | | | | | | B01 | | | | | | | | | | | | B02 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |B01=•[[Weight loss]]>10 lb<br>•[[family history|FHx]] of [[colorectal cancer|CRC]]<br>•Acute onset in elderly<br>•[[Hematoschezia]]<br>•[[Iron deficiency anemia]]<br>•Positive [[OB]]|B02=•[[Analgesic]]<br>•[[Anticholinergic]]<br>••[[Antihistamines]]<br>••[[Antispasmodics]]<br>••[[Antidepressants]]<br>••[[Antipsychotics]]<br>•[[Cation]]-Containing agent<br>••[[Iron supplements]]<br>••[[Aluminum]] ([[antacids]], [[sucralfate]])<br>••[[Barium]]<br>•[[Neuron]] targeting agents<br>••[[Opiates]]<br>••[[Antihypertensive]]<br>••[[Ganglion blockers]]<br>••[[Calcium channel blockers]]<br>••[[5HT3 antagonists]]}}
+{{family tree| | | | | | | | |!| | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{family tree| | | | | | | | |`| B01 | | | | | | | | B02 |'| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |B01='''''[[Alarm signs]]'''''|B02='''''[[Drugs]]'''''}}
+{{family tree|boxstyle=background: #87CEEB; color: #000000;| | | | | | | | | | |`|-|-|-| A01 |-|-|-|'| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |A01='''Constipation'''}}
+{{family tree| | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{family tree|boxstyle=background: #00FF00; color: #000000;| | | | | | | | | | | | | | | D01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |D01='''''[[Abdominal pain]]'''''}}
+{{family tree| | | | | |,|-|-|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|.| | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{family tree| | | | | P01 | | | | | | | | | | | | | | | | | | P02 | | | | | | | | | | | | | | | | | | | | | | | | | | |P01=YES|P02=NO}}
+{{family tree| | | | | |!| | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{family tree| | | | | P01 | | | | | | | | | | | | | | | | | | P02 | | | | | | | | | | | | | | | | | | | | | | | | | | |P01=[[IBS]]<br>[[Malignancy]]<br>[[DM]] [[neuropathy]]|P02=[[Hypothyroidism]]<br>[[Hypomagnesemia]]<br>[[Hypocalcemia]]<br>[[Systemic sclerosis]]<br>[[Multiple sclerosis]]<br>[[Parkinson disease]]<br>[[Depression]]<br>[[Fissure]]<br>[[Anismus]]<br>[[Rectocele]]}}
+{{family tree| | | | | |!| | | | | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{family tree|boxstyle=background: #00FF00; color: #000000;| | | | | P01 | | | | | | | | | | | | | | | | | | P02 | | | | | | | | | | | | | | | | | | | | | | | | | | |P01='''''[[Weight loss]]'''''|P02='''''[[Anal]] [[pain]]'''''}}
+{{family tree| | |,|-|-|^|-|-|.| | | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|.| | | | | | | | | | | | | | | | | | |}}
+{{family tree| | S01 | | | | S02 | | | | | | | S03 | | | | | | | | | | | | | | | S04 | | | | | | | | | | | | | | | | | |S01=YES|S02=NO|S03=YES|S04=NO}}
+{{family tree| | |!| | | | | |!| | | | | | | | |!| | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | |}}
+{{family tree| | |!| | | | | S01 | | | | | | | S02 | | | | | | | | | | | | | | | S03 | | | | | | | | | | | | | | | | | |S01=[[Irritable bowel syndrome]]<br>[[Diabetic]] [[autonomic]] [[neuropathy]]|S02=[[Fissure]]<br>[[Anismus]]<br>[[Rectocele]]|S03=[[Hypothyroidism]]<br>[[Hypomagnesemia]]<br>[[Hypocalcemia]]<br>[[Systemic sclerosis]]<br>[[Multiple sclerosis]]<br>[[Parkinson disease]]<br>[[Depression]]}}
+{{family tree| | |!| | | | | |!| | | | | | | | |!| | | | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | |}}
+{{family tree|boxstyle=background: #00FF00; color: #000000;| | |!| | | | | S01 | | | | | | | S02 | | | | | | | | | | | | | | | S03 | | | | | | | | | | | | | | | | | |S01='''''[[Polyuria]]'''''<br>'''''[[Polydypsia]]'''''<br>'''''[[Polyphagia]]'''''|S02='''''[[Mass]] protrusion'''''|S03= '''''[[Dry skin]]'''''}}
+{{family tree| | |!| | | |,|-|^|-|.| | | |,|-|-|^|-|-|.| | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|-|.| | | | | | | | | | | |}}
+{{family tree| | |!| | | T01 | | T02 | | T03 | | | | T04 | | | | | | T05 | | | | | | | | | | | T06 | | | | | | | | | | |T01=YES|T02=NO|T03=YES|T04=NO|T05=YES|T06=NO}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | | | |!| | | | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | | |}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | | | T01 | | | | | | T02 | | | | | | | | | | | T03 | | | | | | | | | | |T01=[[Fissure]]<br>[[Anismus]]|T02=[[Hypothyroidism]]<br>[[Systemic sclerosis]]|T03=[[Hypomagnesemia]]<br>[[Hypocalcemia]]<br>[[Multiple sclerosis]]<br>[[Parkinson's disease]]<br>[[Depression]]}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | | | |!| | | | | | | |!| | | | | | | | | | | | |!| | | | | | | | | | | |}}
+{{family tree|boxstyle=background: #00FF00; color: #000000;| | |!| | | |!| | | |!| | | |!| | | | | T01 | | | | | | T02 | | | | | | | | | | | T03 | | | | | | | | | | |T01='''''[[Rectal bleeding]]'''''|T02='''''[[Dysphagia]]'''''|T03='''''[[Neurologic]] symptoms'''''<br>(tremor, abnormal gait)}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |,|-|^|-|.| | | |,|-|^|-|.| | | | | |,|-|-|-|-|^|-|-|-|-|.| | | | | | |}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | V01 | | V02 | | V03 | | V04 | | | | V05 | | | | | | | | V06 | | | | | |V01=YES|V02=NO|V03=YES|V04=NO|V05=YES|V06=NO}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | | | |!| | | | | | | | | |!| | | | | | |}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | | | U01 | | | | | | | | U02 | | | | | |U01=[[Multiple sclerosis]]<br>[[Parkinson disease]]|U02=[[Hypomagnesemia]]<br>[[Hypocalcemia]]<br>[[Depression]]}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | | | |!| | | | | | | | | |!| | | | | | |}}
+{{family tree|boxstyle=background: #00FF00; color: #000000;| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | | | X01 | | | | | | | | X02 | | | | | |X01='''''[[Basal ganglia]] [[atrophy]] in [[MRI]]'''''|X02='''''[[Electrolyte]] disturbance'''''}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |,|-|^|-|.| | | |,|-|-|-|+|-|-|-|.| | |}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | Y01 | | Y02 | | Y03 | | Y04 | | Y05 | |Y01=YES|Y02=NO|Y03=YES|Y04=YES|Y05=NO}}
+{{family tree| | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | |}}
+{{family tree|boxstyle=background: #FA8072; color: #000000;| | Z01 | | Z02 | | Z03 | | Z04 | | Z05 | | Z06 | | Z07 | | Z08 | | Z09 | | Z10 | | Z11 | | Z12 | | Z13 | |Z01=[[Malignancy]]|Z02=[[Diabetic]] [[autonomic]] [[neuropathy]]|Z03=[[Irritable bowel syndrome]]|Z04=[[Rectocele]]|Z05=[[Fissure]]|Z06=[[Anismus]]|Z07=[[Systemic sclerosis]]|Z08=[[Hypothyroidism]]|Z09=[[Parkinson's disease]]|Z10=[[Multiple sclerosis]]|Z11=[[Hypomagnesemia]]|Z12=[[Hypocalcemia]]|Z13=[[Depression]]}}
+{{family tree/end}}
+</small>
 ==References==

Constipation differential diagnosis: Difference between revisions

Revision as of 18:02, 6 December 2017

Overview

Differentiating Constipation from Other Diseases

References

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