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Differential Diagnosis for Infant with 2 Loose Bowel Movements per Day

Single Most Likely Diagnosis

  • Gastroenteritis: This is the most common cause of loose bowel movements in infants, often due to viral infections. The symptoms can range from mild to severe and are usually self-limiting.

Other Likely Diagnoses

  • Lactose Intolerance: Infants may have difficulty digesting lactose, a sugar found in milk, leading to loose bowel movements. This condition can be primary (due to lactase deficiency) or secondary (following a gastrointestinal infection).
  • Formula Intolerance: Some infants may react to certain components in their formula, leading to gastrointestinal symptoms including loose stools.
  • Infectious Diarrhea (Bacterial): Bacterial infections can cause diarrhea in infants, though they are less common than viral causes.

Do Not Miss Diagnoses

  • Intussusception: A condition where a part of the intestine slides into an adjacent part, potentially cutting off blood flow. It's a medical emergency and can present with intermittent abdominal pain, vomiting, and bloody stools, in addition to loose bowel movements.
  • Hirschsprung's Disease: A congenital condition characterized by the absence of nerve cells in parts of the bowel, leading to severe constipation or, in some cases, diarrhea due to enterocolitis.
  • Inflammatory Bowel Disease (IBD): Though rare in infants, conditions like Crohn's disease and ulcerative colitis can present with chronic diarrhea, among other symptoms.

Rare Diagnoses

  • Celiac Disease: An autoimmune reaction to gluten, leading to inflammation and damage in the small intestine. It's rare in infants but can cause chronic diarrhea.
  • Congenital Infections: Certain infections acquired during pregnancy, such as toxoplasmosis or cytomegalovirus, can lead to gastrointestinal symptoms in newborns, including diarrhea.
  • Immunodeficiency: Infants with immunodeficiency disorders may be more prone to infections, including those causing gastrointestinal symptoms like diarrhea.

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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