Page 1 of 1: Diarrhoea

munnacanada · Credits: 5077 My Scrapbook

n 18-month-old male child is brought to you by his mother with a one month
history of 6-8 watery soft stools per day. Your physical examination reveals a
malnourished child who has fallen off his growth chart.

CASE 10: QUESTION 24

Which of the following would you include in your differential diagnosis?
Select up to six:

AIDS
Celiac disease
Cystic fibrosis
Excessive apple juice intake
Excess water intake
Giardia Lamblia infection
Gut malrotation
Lactose intolerance
Laxative administration
Rotavirus infection
Salmonella infection
Schwachmann-Diamond syndrome (with pancreatic insufficiency)
Sucrase -isomaltose deficiency
Toddler diarrhea

rk1972 · Credits: 1081 My Scrapbook

n 18-month-old male child is brought to you by his mother with a one month
history of 6-8 watery soft stools per day. Your physical examination reveals a
malnourished child who has fallen off his growth chart.

CASE 10: QUESTION 24

Which of the following would you include in your differential diagnosis?
Select up to six:

AIDS ******
Celiac disease ******
Cystic fibrosis ******
Excessive apple juice intake
Excess water intake
Giardia Lamblia infection *****
Gut malrotation
Lactose intolerance
Laxative administration *****
Rotavirus infection
Salmonella infection
Schwachmann-Diamond syndrome (with pancreatic insufficiency) ******
Sucrase -isomaltose deficiency
Toddler diarrhea

Marzoukrz · Credits: 2496 My Scrapbook

Aids(cryptosoridium)
Celiac disease
Giardia
Lactose intolerance
Sucrase isomaltase defeciency
laxative adminstration.

note:it is watery diarrhea.so C.F and schwachmann-diamond are not in the D.D

rk1972 · Credits: 1081 My Scrapbook

This is a case of chronic diarrhoe with failure to thrive.
Lactose intolerance is not est DD according to TN.

Watery yes, but what means watery soft stools?

Marzoukrz · Credits: 2496 My Scrapbook

Lactose intolerance is a cause of chronic diarrhea and failure to thrive ,the stool is watery ,pH is acidic and positive reducing substance.In fact any child presents with chronic diarrhea you should consider lactose in tolerance which is either due to congenital lactase defeciency or secondary lactase defeciency .

Forget about TN

mikejonathan20055 · Credits: 3355 My Scrapbook

What causes chronic watery diarrhea?
There are may causes of watery diarrhea, including carbohydrate malabsorption such as lactose, sorbitol, and fructose intolerance, intestinal infections or Irritable Bowel Syndrome. Certain medications such as NSAIDs, antacids, antihypertensives, antibiotics and antiarrhythmics can cause diarrhea in some people.
Symptoms of abdominal bloating and excessive gas after consuming dairy products suggests lactose intolerance. This condition is more common in African-Americans and Asian-Americans. Certain soft drinks, juices, dried fruits and gums contain sorbitol and fructose, which can lead to watery diarrhea in people with sorbitol and fructose intolerance.
Intestinal infections such as giardiasis, opportunistic infections in someone with HIV (cryptosporidiosis, microsporidiosis, etc.) can cause chronic watery diarrhea. Diabetes mellitus may be associated with diarrhea due to nerve damage and bacterial overgrowth; this occurs mainly in patient's with long-standing, poorly-controlled diabetes.
Irritable Bowel Syndrome (IBS), is a condition often associated with frequent stools, alteration in bowel habits, and abdominal pain. These symptoms are key features of this syndrome, though many with IBS have constipation rather than diarrhea. Emotional or physiologic distress can worsen IBS symptoms. IBS is recognized as a motility disorder where no anatomic or organic diseases are found to account for the symptoms.

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