Differential Diagnosis for Abdominal Pain and Nausea after Eating Moldy Food
Single Most Likely Diagnosis
- Food Poisoning (Non-Inflammatory): This is the most likely diagnosis given the symptoms of abdominal pain and nausea after consuming moldy food. The lack of vomiting and diarrhea suggests a non-inflammatory cause, which is consistent with the ingestion of mold toxins.
Other Likely Diagnoses
- Irritable Bowel Syndrome (IBS) Exacerbation: Although less likely, it's possible that the moldy food triggered an exacerbation of IBS, leading to abdominal pain and nausea.
- Gastroenteritis (Mild): A mild form of gastroenteritis could also present with abdominal pain and nausea without the typical symptoms of vomiting and diarrhea.
Do Not Miss Diagnoses
- Botulism: Although rare, botulism is a potentially life-threatening condition that can occur after eating contaminated food, including moldy food. Early recognition is crucial, and the lack of typical symptoms like vomiting and diarrhea should not rule out this diagnosis.
- Mycotoxin Poisoning: Certain molds can produce mycotoxins, which can cause a range of symptoms, including abdominal pain and nausea. In severe cases, mycotoxin poisoning can lead to liver or kidney damage.
Rare Diagnoses
- Eosinophilic Gastroenteritis: A rare condition characterized by eosinophilic infiltration of the gastrointestinal tract, which can be triggered by food allergens, including mold.
- Mold-Induced Allergic Reaction: A rare allergic reaction to mold, which can cause a range of symptoms, including abdominal pain and nausea.