Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: September 14, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for Watery Diarrhea in an 11-Month-Old for 3 Weeks

Single Most Likely Diagnosis

  • Viral Gastroenteritis: This is the most common cause of watery diarrhea in infants and toddlers, often caused by rotavirus, norovirus, or adenovirus. The prolonged duration of 3 weeks could be due to a prolonged viral shedding or a secondary infection.

Other Likely Diagnoses

  • Lactose Intolerance: After a viral gastroenteritis, some children can develop a transient lactose intolerance, leading to continued watery diarrhea.
  • Toddler's Diarrhea: A common condition in toddlers characterized by chronic, watery diarrhea, often related to dietary factors or an immature gut.
  • Bacterial Infections: Though less common than viral causes, bacterial infections like Salmonella, Shigella, or Campylobacter can cause prolonged diarrhea in children.

Do Not Miss Diagnoses

  • Intussusception: Although it typically presents with bloody stools and abdominal pain, intussusception can occasionally cause watery diarrhea and is a medical emergency.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis are rare in infants but can present with chronic diarrhea and would be critical to diagnose early.
  • HUS (Hemolytic Uremic Syndrome): Often associated with E. coli infections, HUS can lead to severe kidney failure and is a life-threatening condition.

Rare Diagnoses

  • Celiac Disease: An autoimmune reaction to gluten, leading to small intestine damage and chronic diarrhea, though it's less common to present for the first time at this age.
  • Congenital Chloridorrhea: A rare genetic disorder causing chronic diarrhea due to an imbalance of chloride and sodium in the gut.
  • Giardiasis: An intestinal infection caused by the parasite Giardia lamblia, more common in areas with poor sanitation or in children who attend daycare.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.