Constipation differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Diseases that cause constipation should differentiate from each others, such as malignancy, diabetic autonomic neuropathy, irritable bowel syndrome, rectocele, fissure, anismus, systemic sclerosis, hypothyroidism, Parkinson's disease, multiple sclerosis, hypomagnesemia, hypocalcemia, and depression.
Differentiating Constipation from Other Diseases
- Diseases that cause constipation should differentiate from each others, such as malignancy, diabetic autonomic neuropathy, irritable bowel syndrome, rectocele, fissure, anismus, systemic sclerosis, hypothyroidism, Parkinson's disease, multiple sclerosis, hypomagnesemia, hypocalcemia, and depression.
Differentiating Diseases that Cause Constipation
Diseases | History and Symptoms | Physical Examination | Laboratory Findings | Other Findings | |||||||||||||
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Weight loss | Abdominal pain | Anal pain | Dysphagia | Polyphagia, Polyuria, Polydipsia | Dry skin | Tremor | Abnormal gait | Protruding mass | Sphincter manometry | Deep tendon reflex | Mg | K | Ca | FBS | TSH | ||
Malignancy | + | ||||||||||||||||
Diabetic autonomic neuropathy | ↑ | - | |||||||||||||||
Irritable bowel syndrome (IBS) | ↓ | ||||||||||||||||
Rectocele | |||||||||||||||||
Anal fissure | |||||||||||||||||
Anismus | |||||||||||||||||
Systemic sclerosis | |||||||||||||||||
Hypothyroidism | |||||||||||||||||
Parkinson's disease | |||||||||||||||||
Multiple sclerosis | |||||||||||||||||
Hypomagnesemia | |||||||||||||||||
Hypocalcemia | |||||||||||||||||
Depression | |||||||||||||||||
Pregnancy |