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Differential Diagnosis for Soft Orange Colored Poop

  • Single most likely diagnosis
    • Carrot or sweet potato consumption: The orange color of the poop is likely due to the high concentration of carotenoids, such as beta-carotene, found in these foods.
  • Other Likely diagnoses
    • Giardiasis: This parasitic infection can cause malabsorption of fats, leading to steatorrhea (fatty stools) that may appear orange or yellow.
    • Celiac disease: Malabsorption of fats and other nutrients can result in orange or yellow stools.
    • Pancreatic insufficiency: Inadequate pancreatic enzyme production can lead to malabsorption of fats, causing orange or yellow stools.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Intestinal obstruction or ileus: Although less likely, an intestinal obstruction or ileus can cause a change in stool color, including orange, due to the accumulation of bile or other substances.
    • Gastrointestinal bleeding: Upper GI bleeding can cause black, tarry stools, but if the blood is mixed with bile, it may appear orange or yellow.
  • Rare diagnoses
    • Pseudoporphyria: A rare condition characterized by the accumulation of porphyrins, which can cause orange or red discoloration of the stool.
    • Lipochrome pigmentation: A rare condition where the stool appears orange or yellow due to the accumulation of lipochrome pigments.
    • Certain medications (e.g., rifampicin, warfarin): Some medications can cause a change in stool color, including orange, although this is relatively rare.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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