Differential Diagnosis for Diffuse Abdominal Pain with Vomiting and Loose Stools
Single Most Likely Diagnosis
- Gastroenteritis: This is the most likely diagnosis given the symptoms of diffuse abdominal pain, vomiting, and loose stools. Gastroenteritis, often caused by viral or bacterial infections, is a common condition that matches the patient's presentation.
Other Likely Diagnoses
- Food Poisoning: Similar to gastroenteritis, food poisoning can cause severe abdominal pain, vomiting, and diarrhea. It is usually caused by consuming contaminated food or drinks.
- Irritable Bowel Syndrome (IBS): Although IBS is more chronic, an acute exacerbation could present with diffuse abdominal pain and changes in bowel habits, including loose stools and vomiting.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause abdominal pain, diarrhea, and vomiting, especially during flare-ups.
Do Not Miss Diagnoses
- Appendicitis: Although appendicitis typically presents with localized right lower quadrant pain, it can initially present with diffuse abdominal pain. Missing this diagnosis can lead to severe consequences, including perforation and peritonitis.
- Intestinal Obstruction: This is a surgical emergency that can cause severe abdominal pain, vomiting, and changes in bowel habits. Early diagnosis is crucial to prevent complications.
- Mesenteric Ischemia: This condition, which involves insufficient blood flow to the intestines, can cause severe abdominal pain out of proportion to the physical examination findings, along with vomiting and diarrhea.
Rare Diagnoses
- Whipple's Disease: A rare, systemic bacterial infection that can cause abdominal pain, diarrhea, weight loss, and arthralgias.
- Eosinophilic Gastroenteritis: A rare condition characterized by eosinophilic infiltration of the gastrointestinal tract, leading to abdominal pain, vomiting, and diarrhea.
- Celiac Disease: An autoimmune reaction to gluten, leading to small intestine damage and causing abdominal pain, diarrhea, and malabsorption.