Chronic diarrhea history and symptoms
Chronic diarrhea Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
Diagnostic criteria
There are no criteria for the diagnosis of chronic diarrhea. However, in order to make an accurate diagnosis, it is important to be able to take a detailed history, physical exam and mostly from expert opinion and from experience in individual clinical centers. The use of these methods are subject to bias however, a specific diagnosis can be achieved in more than 90% of patients.
- History
- Age
- Duration, onset
- Food
- Family history
- Pattern
- Timing
- Travel
- Physical examination
- General
- Eye
- Skin
- Abdomen
- Anorectal
- Laboratory tests
- Blood (Albumin and thyroid stimulating hormone levels, complete blood count, erythrocyte sedimentation rate, liver function testing
- Stool ( Bacteria, blood, fat, leukocytes, ova and parasite, pH tests, Giardia, and Cryptosporidium antigen test)
- Celiac panel
- Clostridium difficle toxin ( if indicated)
- Laxative screen ( if indicated)
- Procedure
- Anoscopy