DDDiarrhoea in afya

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''Usually acute''
|Gastroenteritis|May be accompanied by abdominal pain or nausea/vomiting|
|Diverticulitis	|Classically causes left lower quadrant pain, diarrhoea and fever|
|Antibiotic therapy|More common with broad spectrum antibiotics, Clostridium difficile is also seen with antibiotic use|
|Constipation causing overflow|A history of alternating diarrhoea and constipation may be given, May lead to faecal incontinence in the elderly|

''Usually chronic''
|Irritable bowel syndrome|Extremely common. abdominal pain, bloating and change in bowel habit. may be diarrhoea predominant or constipation predominant,  also lethargy, nausea, backache and bladder symptoms|
|Ulcerative colitis|Bloody diarrhoea, Crampy abdominal pain and weight loss, Faecal urgency and tenesmus|
|Crohn's disease|	Crampy abdominal pains and diarrhoea (Bloody less than UC) Also malabsorption, mouth ulcers, perianal disease and intestinal obstruction|
|Colorectal cancer|Sx depend on site of lesion -  diarrhoea, rectal bleeding, anaemia and constitutional symptoms e.g. Weight loss and anorexia|
|Coeliac disease|In kids - failure to thrive, diarrhoea and abdominal distension, In adults - lethargy, anaemia, diarrhoea and weight loss. Think of other  autoimmune conditions|

''Other conditions''
thyrotoxicosis
laxative abuse
appendicitis

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