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.