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.