Gastroparesis differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Gastroparesis should be differentiated from other diseases that cause chronic nausea and vomiting. The differentials include psychiatric illnesses, rumination syndrome, funtional dyspepsia and cyclic vomiting syndrome.
Differentiating Gastroparesis from other Diseases
Gastroparesis should be differentiated from other diseases that cause chronic nausea and vomiting. The differentials include the following:
| Disorder | Clinical features | Laboratory findings | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Chronic nausea | Vomiting | Diarrhea | Retching | Lethargy | Social withdrawal | Photophobia | Epigastric pain/burning | Lanugo hair | Hypogonadism | Russel's sign | Body mass index | Complete blood count (CBC) | Electrolyte imabalance | Lipase and amylase levels | Endoscopic findings | Gastric scintigraphy | Ambulatory esophageal pH and impedance testing | |
| Gastroparesis | ||||||||||||||||||
| Anorexia nervosa | ||||||||||||||||||
| Bulimia nervosa | ||||||||||||||||||
| Rumination syndrome | ||||||||||||||||||
| Functional dyspepsia | ||||||||||||||||||
| Cyclic vomiting syndrome | ||||||||||||||||||
| Pancreatitis | ||||||||||||||||||
| Gastric outlet obstruction | ||||||||||||||||||
- Celiac disease
- Diabetic neuropathy
- Pancreatitis
- Diabetic diarrhea
- Gall bladder disease [1]