A lot of people suspect they have irritable bowel syndrome (IBS). Irritable bowel syndrome comes in two forms; constipation and diarrheal. Sometimes the patient will have a combination; that is, be constipated for a while followed by a period of diarrhea. There are other symptoms which may include abdominal discomfort, frequency and urgency, changes in stool form, gas, and so on. A physician must make the diagnosis after ruling out other possible causes of chronic diarrhea. Following are some of the many other causes of chronic diarrhea (not a complete list, but I will add information as it is found). This information is for adults. Infants and young children experiencing diarrhea should be under the care of a physician as the risk of dehydration and its complications are so high.
Parasites - too numerous to list
Bacteria - too numerous to list
Viruses - numerous
Pancreas - insufficiency, chronic pancreatitis, cystic fibrosis, other pancreatic problems. Fat malabsorption is a frequent problem with pancreas problems.
Hyperthyroidism (note: may increase frequency of bowel movements but not necessarily create a diarrheal stool).
Vitamin C (calcium ascorbate) - in excessive amounts
Vitamin C - deficiency, scurvy
Calcium deficiency - severe deficiency may affect muscles.
Magnesium - in excessive amounts (found in chocolate and other foods, antacids).
Iron toxicity (toxicity means side effects, it does not mean death from).
Sugars - lack of tolerance to fructose, sorbitol, mannitol, or lactose (found in milk).
Celiac disease (gluten intolerance).
Multiple sclerosis (although constipation is more common than diarrhea).
Lumbar spine nerve problems (can affect both bladder and bowel function)
Certain gastric medical procedures (such as truncal vagotomy and gastric drainage procedures).
Some surgical procedures involving the abdominal cavity (limited-term diarrhea).
Coffee or anything containing caffeine
Nicotine may increase diarrhea because of its effects upon the central nervous system.
Irritable Bowel Disease.
Some medications - example, antibiotics
OTC drugs - example: antacids containing magnesium
Formula (enteral) tube feeding.
Phosphorus - in high doses
Malabsorption problems (see also pancreatic insufficiency)
Constipation - fecal impaction in colon prevents absorption of fluids. Loose stools may give false impression of diarrhea.
Medullary Thyroid Cancer http://www.endocrineweb.com/camed.html
Monosodium glutamate (MSG)
Food intolerance - spices.
HIV or AIDS or some of the medications to treat same.
Migraines (with or without headache). Vascular headaches.
Toxic mushrooms - Amanita phalloides
Behcet's disease (rare to have diarrhea as a symptom)
Specific problems of the elderly. http://www.merck.com/pubs/mm_geriatrics/sec13/ch110.htm#sec13-ch110-699
- a chart to help you assess the cause of diarrhea and whether physician care is
Abstract: Cyclosporiasis: a new cause of diarrhea. Cyclospora
cayetanensis, a coccidian parasite, is a new cause of prolonged diarrhea. It has been
most recently associated with ingestion of contaminated fruit.
- food borne disease that can cause diarrhea - chart includes mushrooms and MSG.
http://ibscrohns.about.com/library/weekly/aa041201a.htm - hormones in women
http://archneur.ama-assn.org/issues/v57n4/abs/noc90000.html Presence of Diarrhea and Absence of Tendon Xanthomas in Patients With Cerebrotendinous Xanthomatosis - very rare
check Chronic thyrotoxicosis with thyrotoxic periodic paralysis
á Metabolic: hyper/hypokalemic periodic paralysis, acute intermittent porphyria, hyperparathyroidism, hypoglycemia
á Psychiatric: Panic disorder with conversion reaction,
á Neurologic: myasthenia gravis, muscular dystrophy, Guillain-Barre, poliomyelitis, Lambert-Eaton syndrome
á Drug-induced: thyrotoxicosis factitia caused by overdose of thyroid hormone, excess alcohol intake
- toxic, arsenic
http://www.emedicine.com/neuro/topic286.htm - toxic
http://www.umm.edu/nervous/vascache.htm - vascular headaches
Key words: Guillain-Barre´ syndrome, anti-GM 1 antibody, IgA, diarrhea
http://www.niaid.nih.gov/dmid/enteric/ (has link to FDA bad bug book)
Signs of dehydration, hydrating solutions.
Signs of dehydration include the following: · absence of tears when crying · decreased urination · dry mouth · sluggishness and lethargy
From personal experience: back discomfort (more to the side of the back), increased urinary frequency although producing much less urine (apparently concentrated urine irritates the bladder). May never feel like you emptied yourself.
check epilepsy and folic acid, homocysteine
adrenal - Addison's