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Table 2 Differential Diagnosis of Chronic Diarrhea Classified by Typical Stool Characteristics [6]

From: Colonic diverticular abscess presenting as chronic diarrhea: a case report

Watery diarrhea

Osmotic diarrhea

• Mg, PO4, SO4 ingestion

  

• Carbohydrate malabsorption

 

Secretory diarrhea

• Laxative abuse (nonosmotic laxatives)

  

• Congenital syndromes

  

• Bacterial toxins

  

• Ileal bile acid malabsorption

  

• Inflammatory bowel disease: Ulcerative colitis, Crohn's disease, Microscopic (lymphocytic and collagenous) colitis, Diverticulitis

  

• Vasculitis

  

• Drugs and poisons

  

• Disordered motility: Postvagotomy diarrhea, Postsympathectomy diarrhea, Diabetic autonomic neuropathy, Hyperthyroidism, Irritable bowel syndrome

  

• Neuroendocrine tumors: Gastrinoma, VIPoma, Somatostatinoma, Mastocytosis, Carcinoid syndrome, Medullary carcinoma of thyroid

  

• Neoplasia: Colon carcinoma, Lymphoma, Villous adenoma

  

• Addison's disease

  

• Epidemic secretory diarrhea

  

• Idiopathic secretory diarrhea

Fatty diarrhea

• Malabsorption syndromes: Mucosal diseases, Short-bowel syndrome, Postresection diarrhea, Mesenteric ischemia

  

• Maldigestion: Pancreatic insufficiency, Bile acid deficiency

Inflammatory diarrhea

• Inflammatory bowel disease: Ulcerative colitis, Crohn's disease, Diverticulitis, Ulcerative jejunoileitis

  

• Infectious diseases: Ulcerating viral infections (Cytomegalovirus, Herpes simplex)

  

• Ischemic colitis

  

• Radiation colitis

  

• Neoplasia: Colon cancer, Lymphoma