Differential Diagnosis for Constipation in a 7-Month-Old Infant
Single Most Likely Diagnosis
- Functional Constipation: This is the most common cause of constipation in infants, often due to changes in diet, dehydration, or lack of fiber. The infant's age and the fact that constipation is a common issue in this developmental stage support this diagnosis.
Other Likely Diagnoses
- Dietary Factors: Introduction of new foods or formula can sometimes cause constipation. The infant's diet may be lacking in fiber or too high in constipating foods.
- Dehydration: Not enough fluid intake can lead to constipation. In infants, this can happen quickly, especially in warm environments or with inadequate breastfeeding or formula feeding.
- Hirschsprung's Disease (partial): While less common, a partial form of Hirschsprung's disease could present with constipation. However, it's typically identified earlier in life.
Do Not Miss Diagnoses
- Intestinal Obstruction: Although rare, conditions like intussusception or volvulus can cause severe constipation and are medical emergencies.
- Hirschsprung's Disease (full): The full form of this disease is characterized by the absence of ganglion cells in the distal bowel, leading to severe constipation. It's crucial to diagnose early to prevent complications.
- Spinal Cord Anomalies: Conditions affecting the spinal cord, such as spina bifida, can impact bowel function and cause constipation.
Rare Diagnoses
- Cystic Fibrosis: This genetic disorder can affect the digestive system and cause constipation due to the thick, sticky secretions it produces.
- Hypothyroidism: Congenital hypothyroidism can cause constipation among other symptoms. It's essential to consider this, especially if other signs like failure to thrive are present.
- Neurological Disorders: Certain neurological conditions can affect bowel habits, though these would be extremely rare as a primary presentation in a 7-month-old with constipation.