Differential Diagnosis for Explosive Diarrhea
Single Most Likely Diagnosis
- Viral Gastroenteritis: This is the most common cause of explosive diarrhea, often due to norovirus or rotavirus, characterized by sudden onset, watery stools, and usually accompanied by vomiting and abdominal cramps.
Other Likely Diagnoses
- Bacterial Gastroenteritis: Caused by bacteria such as Salmonella, Shigella, or Campylobacter, presenting with diarrhea that can be bloody, fever, and abdominal pain.
- Food Poisoning: Results from consuming contaminated food, leading to symptoms like diarrhea, vomiting, and stomach cramps, often resolving within a day or two.
- Irritable Bowel Syndrome (IBS): A chronic condition characterized by recurring abdominal pain associated with a change in bowel habits, including diarrhea or constipation, without an identifiable cause.
Do Not Miss Diagnoses
- Clostridioides difficile (C. diff) Infection: A potentially life-threatening condition that can cause severe diarrhea, especially in individuals who have recently used antibiotics or have been hospitalized.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can present with chronic diarrhea, abdominal pain, and weight loss, requiring prompt diagnosis and treatment to prevent complications.
- Intestinal Ischemia: A condition where there's insufficient blood flow to the intestines, which can lead to severe abdominal pain and diarrhea, necessitating immediate medical attention.
Rare Diagnoses
- Whipple's Disease: A rare, systemic bacterial infection that can cause chronic diarrhea, weight loss, and abdominal pain, among other symptoms.
- Lactose Intolerance or Other Carbohydrate Malabsorption: Conditions where the body cannot properly digest certain sugars, leading to bloating, gas, and diarrhea after consuming these substances.
- Giardiasis: An intestinal infection caused by the parasite Giardia lamblia, which can result in diarrhea, abdominal cramps, and dehydration, especially in travelers or those exposed to contaminated water.