diarrhea differential diagnosis
Amebiasis is an infection with the intestinal protozoan Entamoeba histolytica. About 90% of infections are asymptomatic, and the remaining 10% produce a spectrum of clinical syndromes ranging from dysentery to abscesses of the liver or other organs.
Epidemiology.
Amebiasis results from infection with E. histolytica and is the third most common cause of death from parasitic disease after schistosomiasis and malaria. Most asymptomatic carriers, including homosexual men and patients with AIDS, harbor E. dispar and have self-limited infections.
Areas of highest incidence due to inadequate sanitation and crowding include most developing countries in the tropics.
The main groups at risk for amebiasis in developed countries are returned travelers, recent immigrants, homosexual men, and inmates of institutions.
Clinical Syndromes
Intestinal Amebiasis
The most common type of amebic infection is asymptomatic cyst passage. Even in highly endemic areas, most patients harbor E. dispar.
Symptomatic amebic colitis develops 2-6 weeks after the ingestion of infectious cysts.
A gradual onset of lower abdominal pain and mild diarrhea is followed by malaise, weight loss, and diffuse lower abdominal or back pain. Cecal involvement may mimic acute appendicitis.
Patients with full-blown dysentery may pass 10-12 stools per day. The stools contain little fecal material and consist mainly of blood and mucus.
More fulminant intestinal infection, with severe abdominal pain, high fever, and profuse diarrhea, is rare and occurs predominantly in children.
Patients may develop toxic megacolon.
patients develop a chronic form of amebic colitis, which can be confused with inflammatory bowel disease.
Amebic Liver Abscess.
Extra intestinal infection by E. histolytica most often involves the liver. Most patients are febrile and have right-upper-quadrant pain, which may be dull or pleuritic in nature and may radiate to the shoulder. Point tenderness over the liver and right-sided pleural effusion are common. Jaundice is rare with weight loss and hepatomegaly.
Complications of Amebic Liver Abscess.
Pleuro pulmonary involvement in patients, is the most frequent complication of amebic liver abscess.
Manifestations include sterile effusions, contiguous spread from the liver, and rupture into the pleural space.
Abscesses that rupture into the peritoneum may present as an indolent leak or an acute abdomen.
Rupture into the pericardium, usually from abscesses of the left lobe of the liver, carries the gravest prognosis, it can occur during medical therapy and requires surgical drainage.
Other Extraintestinal Sites.
The genitourinary tract may become involved by direct extension of amebiasis from the colon or by hematogenous spread of the infection. Painful genital ulcers, characterized by a punched-out appearance and profuse discharge, may develop secondary to extension from either the intestine or the liver.
Laboratory Diagnosis
1. Stool examinations
2. serologic tests
3. noninvasive imaging of the liver
4. Routine hematology and chemistry tests
5. Radiographic techniques such as
o Ultrasonography
o CT
o MRI
Differential Diagnosis
bacterial diarrheas caused by
1. Campylobacter
2. Enteroinvasive Escherichia coli
3. Species of Shigella
4. Salmonella and Vibrio
Homoeopathic approach:
Mercurius corrosives:
All the preparations of mercury act on the intestines, producing bloody stools with tenesmus, and
Mercurius corrosivus is the one usually thought of in this affection, as its symptoms corresponds to many severe cases.
In the first place we have severe and extreme tenesmus; this is the great characteristic of the
painful tenesmus,and at the same time there is much tenesmus of the bladder,the stools are scanty, of mucous shreds and blood and there is great burning at the anus.
Arsenicum:
Arsenicum is a valuable remedy in dysentery.
There are scanty stools, burning in the rectum, thirst, and after the stool there is great prostration, but there is not the tympanitic distention of the abdomen
The patient is restless and thirsty, water is borne badly. Stools which are undigested , slimy and bloody, indicate Arsenicum.
Blackish brown, horribly offensive stools also indicate well the remedy.
The tenesmus and burning of the anus and rectum continue after stool.
Cantharis:
This remedy, which produces such an intense vesical tenesmus, also produces a like condition in the rectum.
Its characteristics are bloody and slimy discharges which look like the scrapings of the intestines, which are nothing but the fibrous exudations from the disease.
Tenesmus is marked, and always with Cantharis there is a painful urination, and there is present a colic-like pain doubling the patient doubles up.
Sulphur:
For persistent or chronic cases of dysentery Sulphur is the remedy.
The tenesmus continues, in fact there is a sort of tenesums all the time, the stools are slimy and there is frequent sudden urging to stool.
Sometimes this condition is present without the tenesums.
In Nux the tenesums ceases after stool and the pains are relieved for a short time it is similar to Sulphur in its frequent urging.
The stools are bloody, slimy, scanty and watery,and the patient is worse in the morning.
About the Author
Dr Guptha, Director for the
medical coding services
and
medical coding training
Help with case study?
I have to do a case study on a dog with exocrine pancreatic insufficiency and I need to make up a lot of the information. I need help coming up with a list of differential diagnosis that match the clinical signs of diarrhea and weight loss. I already have Intestinal Parasites and Inflammatory Bowel Disease.
The dog has all of its vaccines so parvo is not what I’m looking for in the list.
malnutrition??
Tags: bloody diarrhea differential diagnosis, chronic diarrhea differential diagnosis, diarrhea differential diagnosis, diarrhoea, gp1, health, medical, Most Popular, patientinfo, vomiting and diarrhea differential diagnosis, watery diarrhea differential diagnosisdiarrhea periods
Just imagine, you are on your way to a large presentation that you have to give to 50 of your co-workers and all of a sudden due to the stress of the moment you feel a sudden surge of extreme diarrhea come over you. I know this is not something that many of us like to admit, but it happens to everyone. Diarrhea literally effects billions of people every year, some people much more than others.
When there is an increase in the number of bowel movements or bowel movements are more watery and loose than normal diarrhea occurs. It can also occur when inflammation of the bowel lining causes excess fluid to leak into the stool. Diarrhea may be accompanied by abdominal cramps, nausea, vomiting, or a fever.
Diarrhea is often caused by stomach flu or food poisoning. Diarrhea clears your body of viruses, bacteria, or toxins from the digestive tract. With good home treatment most cases of diarrhea will clear up in a few days. E.Coli, a common bacterium can also cause diarrhea.
During diarrhea do not consume alcohol because it will intensify the situation in your intestine and can lead to serious conditions. Exercise during diarrhea should be reduced, you can carry on with them but do not carry on with your exercise for a longer period because it leads to tension in your stomach muscles.
The reader of this article should exercise all precautionary measures while following instructions on the home remedies from this article. Avoid using any of these products or ingredients if you are allergic to it. The responsibility lies with the reader and not with the website or the writer.
For uncomplicated cases of this problem, it can be cured even without medication. However, since this disease can be embarrassing, it is better to treat it as early as possible to speed up recovery. There are many over-the-counter medicines that can treat this problem. You should drink plenty of water to replenish the lost liquid when you pass stools.
These invasive creatures are spread much more often than you would think, gyms, bathrooms and drinking water are commonly known to harbor not only germs but parasites as well. These may not be the gigantic tape worms you’ve seen disgusting pictures of but microscopic pathogens that can cause severe bloating, diarrhea and nausea with vomiting in some cases.
The only solution is to eliminate the candida overgrowth to re-balance the digestive functions of your body, once performed you can rest assured that you will fully eliminate all gas, bloating, constipation and any other digestive problems you might have. The key is also to eliminate the cause of the candida overgrowth so that you will not experience a reoccuring infection down the road.
About the Author
Read about women magazine Also read about how to get a flat stomach and how to build stamina
Very heavy period diarrhea feeling like i am going to throw up and can not?
eat or drink…is this normal
I have not used a tampon because I am really heavy and they only work for about 30 minutes
coudl be a virus, when you jsut happened to have your period. Happend to me before. I told my mom, she took me to our physician, turnsout i just had a stomach bug, i was prescribed antibotics, and soon enough it went away along with my period, about 4 days later.
But definetaly, tell your gurdian, and ask your mom about it first, try not to take so much advice from the internet. Best of luck girl! 
hope it is just some kind of stomach bug, instead of something worse, ya know.
Because diarrhea is a common disorder of dogs, dog owners would know what first aid methods can be used to stop the pet from passing soft stool. Although diarrhea is a prevalent canine concern, dog owners are not really too concerned with the condition of the pet as in most cases this digestive disorder is self-limiting. Even without any treatment received from the owner the dog’s condition will be resolved in a few days.
Passing watery unformed stools is the typical symptom of diarrhea. Although diarrhea is characterized by soft watery stool, the dog will still strain to defecate and may be able to pass only gas. The watery stool would have a different color and very bad odor.
The dog’s defecation abnormality can be chronic or acute. Acute diarrhea is generally caused by the dog’s dietary indiscretion. Anything that would fit in the dog’s mouth will be ingested. Diarrhea is a common concern of dogs resulting from these animal’s inclination to eat dirt, spoiled food, rotten carcasses of other animals and other indigestible substances. The frequent passing of loose stool is actually the body’s way of removing substances in the stomach that are not supposed to be ingested by the dog. While acute diarrhea can be resolved without treatment, chronic diarrhea is more serious and needs urgent medical attention. Unlike acute diarrhea that usually results from the dog’s dietary indiscretion, chronic diarrhea is a sign of a medical concern. This digestive disorder can be caused by parasite infestation, viral and bacterial infection and by other canine diseases.
Dogs with diarrhea would not benefit from the nutrients obtained from ingested food thus the owner has to immediately address the pet’s condition. The dog will grow weaker because of the lost nutrients and as the immune system is compromised the dog will be more prone to diseases. Diarrhea can also result to dehydration.
The first aid for diarrhea is to let the dog’s stomach rest. This means that solid food should be withheld. Adult dogs will not be given food for 24 hours. Water is not given to the dog as well. For 12 hours, puppies will not be allowed to eat but fresh drinking water should always be made available. If the passing of soft stool has eased, the pet can be given bland foods like boiled rice and boiled chicken. This first aid treatment should stop the dog’s diarrhea but of the frequent passing of soft stool persists, the pet must be rushed to the vet’s for medical treatment.
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Are loose & frequent stools at 35 weeks pregnant normal?
Hi everyone, Im in my 35th week of pregnancy (with my first) and for the past week and a half I have been having loose stools about 2-3 times a day. I normally only go once per day and its not loose like now. I will also get some cramping so I guess you could say this is like a mild diarrhea. For most of my pregnancy I have been constipated so this is an unusual change. I know that before you go into labor you can have loose stools or diarrhea but Im not sure how far before labor that would apply. Im also only at 35 weeks so I cant see it happening 5 weeks or so before labor. Could this last for the remainder of the pregnancy or could this possibly be a sign that I will go into labor in the next week or two? Has anyone else experienced this? Also, I havent changed my diet or done anything out of the ordinary to cause this.
I’m at 36 weeks and for the last week and a half i’ve had loose stools also several times a day…it’s normal and caused by the pressure of the baby moving downward.
Tags: diarrhea loose stools, diarrhea loose stools blood, diarrhea loose stools dogs, diarrhea loose stools pregnancy, diarrhea loose stools puppies, misc, Most Popularanti diarrhea medicine doctor
Biltricide is a trematodicide medication which is manufactured in tablet form for the oral treatment of schistosome infection. This type of medicine is also useful for the treatment of infection which is caused due to liver fluke. It contains an important component such as praziquantel which is a white crystalline powder of bitter taste. This white crystalline powder is easily soluble in ethanol and chloroform. However, it doesn’t dissolve in water easily. A normal tablet of generic biltricide contains 600 mg of praziquantel. Besides, there are a variety of inactive components such as corn starch, microcrystalline cellulose, titanium dioxide and hypromellose which are added in less quantity to the medicine.
Generic Biltricide is well known for its effectiveness as a medication. It consists of white crystalline powder which is termed as praziquantel. This medication is largely used for the treatment of schistosome infection which is widespread among people. Schistosome infection is also known as Schistosomiasis which is as a result of parasitic infection. This type of infection is acquired by wading, bathing and swimming in contaminated water which is a perfect place for the multiplication of schistosomes. In order to treat schistosomiasis, people should immediately consult a doctor.
Biltricide is highly recommended medicine for the treatment of schistosomiasis. This type of medication is provided in tablet form and it should be taken as per the doctor’s instructions. Generic biltricide may not suite patients who have gone through the cases of hypersensitivity. In order to increase the effectiveness of biltricide, the patients are advised to lessen the consumption of strong cytochrome inducers. However, they can restart their dose after the completion of praziquantel treatment. In general, the amount suggested for the treatment of schistosome infection is 20 mg per kg of body weight. Biltricide is consumed three times a day at regular interval of not less than 4 hours. It is taken during meals with a glass full of water. The patients should avoid chewing the tablets otherwise they may vomit. Furthermore, they are suggested to avoid driving cars and operate machineries during biltricide treatment. They should buy biltricide from authentic drugstores and the medicine should be kept away from the reach of children.
Biltricide is one of the best medicines for the treatment of Schistosomiasis. It is recommended by many doctors. Generic biltricide is extremely useful medicine for the treatment of schistosome infection. This type of medication should be taken in prescribed label as per doctor’s instructions. Excessive intake of biltricide leads to severe side effects which are mentioned below.
• Dizziness
• Headache
• Malaise
• Abdominal pain
• Bloody diarrhea
• Vomiting
• Vertigo
• Somnolence
• Asthenia
• Anorexia
At times, the patients suffer from allergic reaction, arrhythmia, ectopic rhythmus, ventricular fibrillation and convulsion. Generic biltricide should be avoided during pregnancy. Nursing mothers should not breastfeed their children on the day of praziquantel treatment. This type of medication should not be recommended to the old patients who have crossed 65 years. Besides, the patients should buy biltricide form renowned online drugstores. They should immediately consult a doctor in case of adverse side effects. It is always recommended to order biltricide from selected online medical store.
Note: In case of possible side effects, the patients should right away see a doctor.
About the Author
A trematodicide medication like biltricide is mostly suggested for the treatment of schistosomiasis. Biltricide 600mg is priced at cost effective rate and is considered as user-friendly medicine. The patients are generally adviced to buy biltricide from online drugstores.
Oh God! What should I do about my nausea??
I’m 7w2d and my nausea is really bad! I spent the whole day on the sofa today and vomitted twice. I feel like I can’t keep down anything and along with the nausea, I’m also having loose stool or diarrhoea. I’ve just had a glass of milk since morning. What should I do? The doctor says that it might get worse as the weeks go on. She also said that the anti nausea medicines are not always good for the baby so I want to steer away from them.
What were some of the things that you did to relieve the nausea symptoms and were atleast be able to eat something?
Don’t let yourself get hungry first of all. When you first wake up in the morning eat crackers and wait 1/2 hr before getting out of bed. Eat breakfast right away. Then make sure you eat plenty of small meals throughout the day that have plenty of protein and starch that aren’t spicy or highly seasoned. Also sip ginger ale, ginger tea, or just carbonated water thru the day. The diarrhea is probably from not getting enough solid food in your system. Stay away from strong smells. Hope this helps and congratulations.
Tags: Most Populardiarrhea and stomach pain symptoms
Juice Fasting to Combat Crohn’s Disease
Most conventional doctors who treat Crohn’s Disease use harsh medications with dangerous side effects while advising their patients to stay away from certain foods. This type of treatment and advice allows the patient to exist alongside the illness, but not allow them to live the best possible life. Conventional medicine says there is no cure for Crohn’s Disease. However some researchers and scientists disagree. These mavericks believe that lifestyle and diet changes can cure all chronic illnesses. Juicing fresh fruits and vegetables is just one of the newer approaches being taken to fight this debilitating illness.
Experts estimate that as many as 50 million Americans suffer from some type of irritable bowl syndrome including colitis and Crohn’s Disease. Most of the irritation is caused by simple food intolerance according to these same experts. This thinking is backed up by evidence that symptoms generally disappear once the trigger foods are taken out of the patient’s diet. The problem remains because even so called healthy foods like sweet potato or broccoli or blue berries can be trigger foods for some people. Processed foods are proven bad for you in excess. For people suffering from Crohn’s they present major problems such as gas, bloating, diarrhea and stomach pain.
Early on, in order to get some relief, it is smart to identify the trigger foods that cause the inflammation. Foods like whole wheat bread, milk, dairy products, eggs, peanuts or even apples and corn can trigger an attack. The point is to specifically target the one food causing the problem. Most doctors test for allergies before diagnosing Crohn’s.
Juicing has become very popular when managing Crohn’s Disease. It is very simple to do. Fresh fruits and sometimes vegetables are reduced down to juice, the pulp is separated out and the juice consumed. This eases digestion and promotes healing along the gastrointestinal tract. Some mix the pulp back into the juice after extraction, however this is not necessarily a good idea since the pulp is fiber which can irritate a damaged lining. Juicing enables the body to use its own system for healing and repairing itself. The detoxification, however, may cause headaches, weakening and dizziness for a few days or until the body readjusts itself. The patient may also suffer some joint pain as the body corrects. These minor problems will fade away in a short time.
Another symptom that your body is throwing off toxins is fatigue. So relaxing and resting is good while juicing for health and healing. This tiredness may last as long as two weeks depending on the amount of toxicity in the body. So put aside all extra activity and exercise until you get through this initial phase of detoxification.
Begin by juicing fresh fruits like apples, oranges or watermelon. Once you’ve gotten the hang of it, toss in some of your favorite vegetables. Start by adding a carrot or two or even a celery stalk to a juice made of apples and oranges. Adjust your tastes to fit what you prefer and you’re on your way to better health.
About the Author
After several years of intestinal and digestive problems, Richard was diagnosed six years ago with Crohn’s/Colitis. When he was told that surgery could be the only solution to relieve his symptoms, Richard was determined to find a better way. After enduring a water fast and embarking on a raw food diet, Richard is symptom-free and enjoying a healthy and active lifestyle.
http://www.crohnscolitiswaterfast.com/
I have stomach pain,diarrhea and….Whats wrong with me?
Symptoms:Stomach pain,diarrhea and when I shake my tummy it is like there is water in it.!.What do I have?
Your digestive system isn’t functioning correctly, you might need to take some medicine kindly contact with nearest doctor or physician.
Tags: diarrhea and stomach pain symptoms, Most Popular
