Differential Diagnosis for Constant Abdominal Bloating
Single Most Likely Diagnosis
- Irritable Bowel Syndrome (IBS): This is the most common cause of chronic abdominal bloating, characterized by recurrent abdominal pain, bloating, and changes in bowel habits without any mechanical, inflammatory, or biochemical abnormalities.
Other Likely Diagnoses
- Functional Dyspepsia: A condition where the stomach does not function normally, leading to symptoms like bloating, discomfort, and early satiety.
- Small Intestine Bacterial Overgrowth (SIBO): An excessive growth of bacteria in the small intestine, which can lead to bloating, gas, and abdominal discomfort.
- Lactose Intolerance: The inability to digest lactose, a sugar found in milk, leading to bloating, gas, and diarrhea after consuming lactose-containing products.
- Celiac Disease: An autoimmune disorder where the ingestion of gluten leads to damage in the small intestine, causing bloating, diarrhea, and abdominal pain.
Do Not Miss Diagnoses
- Ovarian Cancer: Although rare, ovarian cancer can present with persistent bloating, abdominal pain, and changes in bowel habits, making it crucial not to miss this diagnosis.
- Gastric Cancer: Similar to ovarian cancer, gastric cancer can cause bloating and abdominal discomfort, and early detection is key to treatment.
- Intestinal Obstruction: A blockage in the intestine that can cause severe abdominal pain, bloating, and vomiting, requiring immediate medical attention.
Rare Diagnoses
- Gastroparesis: A condition where the stomach takes too long to empty its contents, leading to bloating, nausea, and vomiting.
- Cystic Fibrosis: A genetic disorder that can cause digestive problems, including bloating and malabsorption, due to thick mucus production in the digestive tract.
- Ehlers-Danlos Syndrome: A group of disorders that affect connective tissues, which can lead to gastrointestinal symptoms, including bloating and abdominal pain.
- Mitochondrial Neurogastrointestinal Encephalomyopathy (MNGIE): A rare genetic disorder that affects the digestive system and nervous system, causing severe gastrointestinal symptoms, including bloating.