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Differential Diagnosis for Abdominal Cramps

Single Most Likely Diagnosis

  • Irritable Bowel Syndrome (IBS): This is often the most common cause of abdominal cramps, especially if the cramps are recurrent and associated with changes in bowel habits, such as diarrhea or constipation. IBS is a functional disorder, meaning there's no visible sign of disease or injury to the digestive tract, but it can cause significant discomfort.

Other Likely Diagnoses

  • Gastroenteritis: Inflammation of the stomach and intestines, usually caused by a viral or bacterial infection, leading to abdominal cramps, diarrhea, and vomiting.
  • Constipation: Hard or infrequent stools can cause abdominal cramps, especially if there's straining during bowel movements.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease and ulcerative colitis can cause chronic inflammation of the digestive tract, leading to abdominal cramps, diarrhea, and weight loss.
  • Food Intolerance: Lactose intolerance, gluten intolerance (celiac disease), or other food intolerances can lead to abdominal cramps after consuming specific foods.

Do Not Miss Diagnoses

  • Appendicitis: Although less common, appendicitis is a medical emergency that requires prompt surgical intervention. It typically presents with severe abdominal pain, initially diffuse and then localized to the lower right abdomen, fever, and loss of appetite.
  • Ectopic Pregnancy: A pregnancy that develops outside the uterus can cause abdominal cramps, especially in women of childbearing age. This is a life-threatening condition if not promptly diagnosed and treated.
  • Intestinal Obstruction: A blockage in the intestine can cause severe abdominal cramps, vomiting, and constipation. This condition requires immediate medical attention.
  • Diverticulitis: Inflammation of the diverticula in the digestive tract can cause abdominal cramps, usually in the lower left abdomen, fever, and changes in bowel habits.

Rare Diagnoses

  • Porphyria: A group of disorders that can cause abdominal cramps, among other symptoms like neurological issues and sensitivity to sunlight.
  • Lead Poisoning: Can cause abdominal cramps, constipation, and other systemic symptoms.
  • Celiac Disease: An autoimmune disorder where the ingestion of gluten leads to damage in the small intestine, causing abdominal cramps, diarrhea, and malabsorption.
  • Intussusception: A condition where a part of the intestine slides into an adjacent part, causing bowel obstruction and severe abdominal cramps, more common in children but can occur in adults.

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.

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