Differential Diagnosis for Loose Stool in Children
Single Most Likely Diagnosis
- Viral Gastroenteritis: This is the most common cause of loose stool in children, often accompanied by vomiting, fever, and abdominal cramps. Viruses such as rotavirus, norovirus, and adenovirus are frequent culprits.
Other Likely Diagnoses
- Bacterial Gastroenteritis: Bacteria like Salmonella, Shigella, and E. coli can cause loose stool, often with blood and mucus, and may be accompanied by fever and abdominal pain.
- Food Allergy or Intolerance: Conditions such as lactose intolerance or allergies to foods like milk, eggs, or wheat can lead to loose stool in children.
- Functional Gastrointestinal Disorder: Conditions like irritable bowel syndrome (IBS) can cause recurring abdominal pain and changes in bowel movements, including loose stool.
Do Not Miss Diagnoses
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can present with chronic loose stool, blood in stool, weight loss, and abdominal pain. Missing these diagnoses can lead to significant morbidity.
- Intussusception: A condition where a part of the intestine slides into another, which can cause severe abdominal pain, vomiting, and bloody stools. It's a medical emergency.
- HUS (Hemolytic Uremic Syndrome): Often associated with E. coli infections, HUS can lead to kidney failure and is characterized by the triad of hemolytic anemia, acute kidney injury, and thrombocytopenia.
Rare Diagnoses
- Celiac Disease: An autoimmune reaction to gluten that can cause malabsorption and lead to loose stool, among other symptoms.
- Giardiasis: An infection caused by the Giardia parasite, which can lead to chronic diarrhea, weight loss, and abdominal cramps.
- Congenital or Acquired Immunodeficiency: Conditions that impair the immune system, making children more susceptible to infections that can cause loose stool, among other symptoms.
- Endocrine Disorders: Such as hyperthyroidism, which can cause an increase in bowel movements and loose stool due to the metabolic effects of excess thyroid hormones.