Differential Diagnosis for Loose Stool
Single Most Likely Diagnosis
- Infectious Gastroenteritis: This is the most likely diagnosis given the acute onset and high frequency of loose stools. A viral or bacterial infection is a common cause of gastroenteritis, which can lead to symptoms like diarrhea, abdominal cramps, and vomiting.
Other Likely Diagnoses
- Irritable Bowel Syndrome (IBS): IBS is a chronic condition characterized by recurring abdominal pain and changes in bowel movements, which can include diarrhea. The long duration of symptoms (5 weeks) could suggest a chronic condition like IBS.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause chronic diarrhea, abdominal pain, and weight loss. The frequency and duration of loose stools could indicate an inflammatory process.
- Lactose Intolerance or Malabsorption: Difficulty digesting certain nutrients, such as lactose, can lead to chronic diarrhea. Other malabsorptive conditions, like celiac disease, can also cause similar symptoms.
Do Not Miss Diagnoses
- Clostridioides difficile (C. diff) Infection: This bacterial infection can cause severe, life-threatening diarrhea and is often associated with antibiotic use. It's crucial to consider C. diff in patients with prolonged or severe diarrhea.
- Giardiasis: An infection caused by the Giardia parasite, which can lead to chronic diarrhea and malabsorption if left untreated.
- Colorectal Cancer: Although less likely in younger patients, colorectal cancer can cause changes in bowel habits, including diarrhea. It's essential to rule out this possibility, especially in older adults or those with a family history.
Rare Diagnoses
- Whipple's Disease: A rare, systemic bacterial infection that can cause chronic diarrhea, weight loss, and malabsorption.
- Short Bowel Syndrome: A condition resulting from a significant loss of intestinal tissue, leading to malabsorption and chronic diarrhea.
- VIPoma: A rare pancreatic tumor that produces vasoactive intestinal peptide (VIP), causing severe, chronic diarrhea and dehydration.