Differential Diagnosis for Gastritis and Swearing Episodes

Single Most Likely Diagnosis

• Gastroesophageal Reflux Disease (GERD): This condition can cause gastritis, leading to symptoms like heartburn and abdominal pain. The swearing episodes could be related to the discomfort or pain caused by GERD, potentially triggering irritability or frustration.

Other Likely Diagnoses

• Peptic Ulcer Disease: Similar to GERD, peptic ulcers can cause gastritis and significant abdominal pain, potentially leading to irritability or outbursts, including swearing.
• Irritable Bowel Syndrome (IBS): Although IBS primarily affects the large intestine, it can cause significant abdominal pain and discomfort, potentially leading to irritability and swearing episodes.
• Alcohol-Related Gastritis: Excessive alcohol consumption can cause gastritis and lead to episodes of swearing due to the irritability and behavioral changes associated with alcohol use.

Do Not Miss Diagnoses

• Porphyria: A group of rare disorders that can cause abdominal pain, neurological symptoms, and psychological disturbances, including irritability and altered behavior that might manifest as swearing episodes.
• Neurological Disorders (e.g., Frontotemporal Dementia, Alzheimer's Disease): Certain neurological conditions can lead to changes in behavior, including inappropriate language use, and may also have gastrointestinal symptoms due to autonomic dysfunction or medication side effects.
• Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause significant gastrointestinal symptoms, including gastritis, and the chronic pain and stress could contribute to irritability and swearing.

Rare Diagnoses

• Zollinger-Ellison Syndrome: A rare disorder characterized by excessive gastric acid production, leading to severe gastritis and peptic ulcers. The significant pain could potentially contribute to irritability.
• Eosinophilic Gastroenteritis: A rare condition involving eosinophilic infiltration of the gastrointestinal tract, leading to gastritis and other symptoms. The discomfort could theoretically contribute to behavioral changes, including swearing.
• Gastric Cancer: Although rare, gastric cancer can cause gastritis and significant abdominal pain. The stress and discomfort of dealing with cancer could lead to irritability and swearing episodes.