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Differential diagnosis of chronic diarrhea by stool characteristics

Differential diagnosis of chronic diarrhea by stool characteristics
Watery diarrhea
Osmotic diarrhea
Carbohydrate malabsorption
Osmotic laxatives (eg, Mg++, PO4–3, SO4–2)
Secretory diarrhea
Bacterial toxins
Bile acid malabsorption
IBD (some cases)
Crohn disease
Microscopic colitis
Collagenous colitis
Lymphocytic colitis
Medications and toxins
Disordered motility
Diabetic autonomic neuropathy
IBS
Postsympathectomy diarrhea
Postvagotomy diarrhea
Endocrinopathies
Addison's disease
Neuroendocrine tumors
Hyperthyroidism
Mastocytosis
Medullary carcinoma of the thyroid
Idiopathic secretory diarrhea (epidemic and sporadic)
Stimulant laxative abuse
Neoplasia
Colon carcinoma
Lymphoma
Villous adenoma
Vasculitis
Inflammatory diarrhea
Diverticulitis
Infectious diseases
Invasive bacterial infections (eg, tuberculosis, yersinosis)
Invasive parasitic infections (eg, amebiasis, strongyloidiasis)
Pseudomembranous colitis
Ulcerating viral infections (eg, cytomegalovirus, herpes simplex virus)
IBD (most cases)
Crohn disease
Ulcerative colitis
Ulcerative jejunoileitis
Microscopic colitis (some cases)
Ischemic colitis
Neoplasia
Colon cancer
Lymphoma
Radiation colitis
Fatty diarrhea
Malabsorption syndromes
Mesenteric ischemia
Mucosal diseases (eg, Crohn disease, Whipple's disease)
SBS
SIBO
Maldigestion
Inadequate luminal bile acid concentration
Pancreatic exocrine insufficiency
Mg++: magnesium; PO4-3: phosphate; SO4-2: sulfate; IBD: inflammatory bowel disease; IBS: irritable bowel syndrome; SBS: short bowel syndrome; SIBO small intestinal bacterial overgrowth.
Reproduced from: Schiller LR, Pardi DS, Sellin JH. Chronic Diarrhea: Diagnosis and management. Clinical Gastroenterology and Hepatology 2017; 15:182. Table used with the permission of Elsevier Inc. All rights reserved.
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